# SOUTH SHORE MANOR HOME FOR ADULTS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New South Shore Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457069270
- **Authorized official:** MS. JENNIFER GRAJALES (DIRECTOR OF SPECIAL PROJECTS)
- **Authorized official phone:** (347) 988-4535

## Contact information

- **Practice address:** 1041 E 83RD ST, BROOKLYN, NY 11236-4225
- **Practice address phone:** (718) 241-7035
- **Mailing address:** 2357 60TH ST, BROOKLYN, NY 11204-2689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/10/2022
- **Last updated:** 11/10/2022