Organization
PEARL VALLEY REHABILITATION AND NURSING AT PRIMGHAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE BRODT (OWNER MORE THAN 5 PERCENT INTEREST)
(917) 379-8074
Entity
Organization
Contact information
Practice address
735 N RERICK AVE, PRIMGHAR, IA 51245-1052
(712) 957-3655
(712) 957-8501
Mailing address
1576 E 27TH ST, BROOKLYN, NY 11229-1710
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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