# SHI-III CORAM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** All American Assisted Living at Coram
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801566872
- **Authorized official:** MR. RAYMOND DIOGUARDI (COO/CFO)
- **Authorized official phone:** (516) 496-1505

## Contact information

- **Practice address:** 463 MIDDLE COUNTRY RD, CORAM, NY 11727-3758
- **Practice address phone:** (631) 997-0010
- **Mailing address:** SHI-III CORAM, LLC C/O KAPLAN DEVELOPMENT GROUP, 100 JERICHO QUADRANGLE, SUITE 142, JERICHO, NY 11753
- **Mailing address phone:** (516) 496-1505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2021
- **Last updated:** 09/20/2021