Organization
ESRHC LLC
Active
Other names
Eastern Shore Rehabilitation and Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOSS ELLENBOGEN (PRESIDENT AND TREASURER)
(305) 308-3878
Entity
Organization
Contact information
Practice address
101 VILLA DR, DAPHNE, AL 36526-4653
(251) 626-2694
Mailing address
3389 SHERIDAN ST, SUITE 416, HOLLYWOOD, FL 33021-3606
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N0204
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-1082990S
—
AL
Enumeration date
10/10/2011
Last updated
10/17/2011
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