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NPI Code Detail

MEDICARE: GREENERY OPERATING LLC

MEDICARE: GREENERY OPERATING 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 : 1275995755
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREENERY OPERATING LLC
Provider Business Mailing Address
First Line : 5308 13TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-3804
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2200 HILL CHURCH HOUSTON RD
Second Line :
City : CANONSBURG
State : PA
Zip : 15317-1454
Country : US
Telephone Number : 724-745-8000
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : MENDEL BRECHER
Credential :
Telephone Number : 718-484-8888
Provider Enumeration Date : 03/24/2016
Last Update Date : 03/24/2016

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