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NPI Code Detail

MEDICARE: EREZ HEALTHCARE GROUP LLC

MEDICARE: EREZ HEALTHCARE GROUP 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 : 1841908928
Entity Type Code : Organization
Provider Name (Legal Business Name) : EREZ HEALTHCARE GROUP LLC
Provider Business Mailing Address
First Line : 40 NUSSBAUM AVE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-4677
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6420 COUNCIL ST NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-1129
Country : US
Telephone Number : 319-393-1447
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : MR. DOVID GLENN
Credential :
Telephone Number : 917-331-8883
Provider Enumeration Date : 11/08/2022
Last Update Date : 11/08/2022

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Directions to “EREZ HEALTHCARE GROUP LLC ” Practice Location

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