Organization
GRANT PARK SNF, LLC
Active
Other names
Deanwood Rehabilitation and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
EFRAIM ROOZ (OPERATOR)
(646) 358-4059
Entity
Organization
Contact information
Practice address
5000 NANNIE HELEN BURROUGHS AVE NE, WASHINGTON, DC 20019-5506
(202) 399-4505
Mailing address
5000 NANNIE HELEN BURROUGHS AVE NE, WASHINGTON, DC 20019-5506
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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