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NPI Code Detail

MEDICARE: WOODS EDGE REHAB AND NURSING LLC

MEDICARE: WOODS EDGE REHAB AND NURSING 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 : 1780191544
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOODS EDGE REHAB AND NURSING LLC
Provider Business Mailing Address
First Line : 5308 13TH AVE STE 273
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-3804
Country : US
Telephone Number : 718-484-8888
Fax Number :
Provider Business Practice Location Address
First Line : 1171 TOWNE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45216-2227
Country : US
Telephone Number : 513-242-1360
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MENDEL BRECHER
Credential :
Telephone Number : 718-484-8888
Provider Enumeration Date : 01/02/2018
Last Update Date : 01/02/2018

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Directions to “WOODS EDGE REHAB AND NURSING LLC ” Practice Location

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