Healthcare Provider Details

I. General information

NPI: 1629508346
Provider Name (Legal Business Name): MAJESTIC OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2017
Last Update Date: 06/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 N TUCKER ST
MEMPHIS TN
38104-2636
US

IV. Provider business mailing address

600 BROADWAY
LYNBROOK NY
11563-3980
US

V. Phone/Fax

Practice location:
  • Phone: 901-726-5600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: STEVEN FRIEDMAN
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 517-220-9417