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Organization
NEW HAVEN MANOR HOME FOR ADULTS, LLC
Active
Organization
NEW HAVEN MANOR HOME FOR ADULTS, LLC
Active
Other names
New Haven Manor
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GRAJALES (PROJECT MANAGER)
(347) 988-4535
Entity
Organization
Contact information
Practice address
1526 NEW HAVEN AVE, FAR ROCKAWAY, NY 11691-5148
(718) 471-7200
Mailing address
2357 60TH ST, BROOKLYN, NY 11204-2689
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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