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Organization

THE W GROUP AT NEW BROADVIEW, LLC

Active
Other names
New Broadview Manor Home for Adults LHCSA, New Broadview Manor Home for Adults
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNIFER GRAJALES (PROJECT MANAGER)
(718) 840-3355
Entity
Organization

Contact information

Practice address
70 FATHER CAPODANNO BLVD, STATEN ISLAND, NY 10305-4803
(718) 840-3355
(347) 436-8045
Mailing address
2357 60TH ST, BROOKLYN, NY 11204-2689
(718) 840-3355
(347) 436-8045

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
2670L001
NY
310400000X
Assisted Living Facility
610-F-067
NY
311ZA0620X
Adult Care Home Facility
Primary
610-F-067
NY

Other

Enumeration date
03/08/2018
Last updated
10/15/2020
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