Brookhaven Tn Opco LLC

NPI #1104301837 in Kingsport, Tennessee

Provider Information

NPI Number
1104301837
Entity Type
Organization
Organization Name
Brookhaven Tn Opco LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Sep 28, 2018
Last Updated
Feb 7, 2023

Practice Location

Address
2035 E STONEBROOK PL
ZIP Code
37660-4000
Phone
(423) 246-8934

Authorized Official

Name
DAVID HERSKOWITZ
Title
CEO
Phone
(212) 444-1991

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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