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General NPI Number Information
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NPI Number | 1073479564
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Entity Type | Organization
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Legal Business Name | SOUTH HADLEY REHABILITATION AND NURSING CENTER LLC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 573 GRANBY RD
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City | SOUTH HADLEY
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State | MA
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Zip | 01075-2122
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Country | US
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Telephone | 413-532-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 573 GRANBY RD
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City | SOUTH HADLEY
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State | MA
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Zip | 01075-2122
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | AKIVA HOROWITZ
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Credential |
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Telephone | 718-974-0266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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