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NPI Code Detail

MEDICARE: WASHINGTON NURSING AND REHABILITATION CENTER LLC

MEDICARE: WASHINGTON NURSING AND REHABILITATION CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1184005720
Entity Type Code : Organization
Provider Name (Legal Business Name) : WASHINGTON NURSING AND REHABILITATION CENTER LLC
Provider Business Mailing Address
First Line : 34 LORD AVE
Second Line :
City : LAWRENCE
State : NY
Zip : 11559-1324
Country : US
Telephone Number : 646-772-3668
Fax Number :
Provider Business Practice Location Address
First Line : 601 E POLK ST
Second Line :
City : WASHINGTON
State : IA
Zip : 52353-1238
Country : US
Telephone Number : 319-653-6526
Fax Number :
Authorized Official
Title or Position : OWNER OF GREATER THAN 5 PERCENT
Name : MR. EPHRAM M LAHASKY
Credential :
Telephone Number : 646-772-3668
Provider Enumeration Date : 06/09/2015
Last Update Date : 08/29/2016

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Directions to “WASHINGTON NURSING AND REHABILITATION CENTER LLC ” Practice Location

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