# PREMIER AT PERRY VILLAGE FOR NURSING AND REHABILITATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073030185
- **Authorized official:** DANIEL SCHAFFER (MANAGER)
- **Authorized official phone:** (516) 505-0000

## Contact information

- **Practice address:** 213 E MAIN ST, NEW BLOOMFIELD, PA 17068-9657
- **Practice address phone:** (717) 582-4346
- **Mailing address:** 600 BROADWAY UNIT E, LYNBROOK, NY 11563-3980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/29/2017
- **Last updated:** 08/29/2017