Organization
CLR GRANVILLE LLC
Active
Other names
Slate Valley Center for Rehabilitation and Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR ABRAMCHIK (MEMBER)
(718) 931-9700
Entity
Organization
Contact information
Practice address
10421 STATE ROUTE 40, GRANVILLE, NY 12832-5713
(518) 642-2346
(518) 642-3870
Mailing address
4770 WHITE PLAINS RD, BRONX, NY 10470-1104
(718) 931-9700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5725303N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01167931
—
NY
Enumeration date
05/11/2017
Last updated
07/24/2017
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