Basic Information
| Provider Information | |||||||||
| NPI: | 1376833954 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LOCKNEY MANAGEMENT, LLC | ||||||||
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| OtherOrganizationName: | LOCKNEY HEALTH AND REHABILITATION CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 71-50 PARSONS BLVD | ||||||||
| Address2: | SUITE 1001 | ||||||||
| City: | FLUSHING | ||||||||
| State: | NY | ||||||||
| PostalCode: | 113654131 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5165965222 | ||||||||
| FaxNumber: | 8773115460 | ||||||||
| Practice Location | |||||||||
| Address1: | 401 N. MAIN STREET | ||||||||
| Address2: | |||||||||
| City: | LOCKNEY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 792412059 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8066523375 | ||||||||
| FaxNumber: | 8066523466 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/15/2011 | ||||||||
| LastUpdateDate: | 06/11/2012 | ||||||||
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| AuthorizedOfficialLastName: | FRIEDMAN | ||||||||
| AuthorizedOfficialFirstName: | PHILIP | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 5165965222 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | 130813 | TX | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.