Organization Name: | PRAIRIE HOUSE SNF LLC |
NPI Number: | 1053647495 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ZEVI KOHN (CFO) |
Mailing Address: | 1301 Mesa Dr Plainview |
State: | TX US |
Postal Code: | 790723905 |
Phone Number: | 8062934855 |
Fax Number: | |
NPI Enumeration Date: | 10/20/2009 |
NPI Last Update Date: | 10/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BN1400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Nursing Facility Supplies |
Taxonomy Definition: |