Organization
GREEN VALLEY NURSING & REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOSHE ORLINSKY (MANAGER)
(314) 588-7518
Entity
Organization
Contact information
Practice address
610 PRIGGE RD, SAINT LOUIS, MO 63138-3543
(314) 741-9393
(314) 438-8128
Mailing address
211 N BROADWAY, SUITE 2035, SAINT LOUIS, MO 63102-2711
(314) 588-7518
(314) 588-7321
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
036136
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102735602
—
MO
Enumeration date
08/12/2006
Last updated
06/21/2010
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