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Organization
PLEASANTVILLE OPERATING LLC
Active
Organization
PLEASANTVILLE OPERATING LLC
Active
Parent organization
PLEASANTVILLE VENTURES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PLEASANTVILLE VENTURES LLC
Authorized official
CHARLES-EDOUARD GROS (MANAGING MEMBER)
(718) 360-8083
Entity
Organization
Contact information
Practice address
1100 CLEMATIS AVE, PLEASANTVILLE, NJ 08232-3302
(718) 360-8083
Mailing address
13742 71ST AVE, FLUSHING, NY 11367-1939
(718) 360-8083
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060106
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4462203
—
NJ
Enumeration date
09/17/2015
Last updated
09/17/2015
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