Organization
MINEOLA HEALTHCARE LLC
Active
Other names
Community Care Center Of Mineola
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MENDY SHAPIRO (MANAGER)
(903) 569-5366
Entity
Organization
Contact information
Practice address
716 MIMOSA DR, MINEOLA, TX 75773-2612
(903) 569-5366
Mailing address
410 MONMOUTH AVE, SUITE 130, LAKEWOOD, NJ 08701-3711
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5037
TX
Other
Enumeration date
01/28/2009
Last updated
12/01/2016
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