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Organization

THE LONG ISLAND HOME

Active
Other names
Broadlawn Manor Social Daycare
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PATRICIA A PORTER (CFO)
(631) 608-5107
Entity
Organization

Contact information

Practice address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
(631) 264-4000
(631) 396-0025
Mailing address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
(631) 264-4000
(631) 396-0025

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
09/30/2005
Last updated
01/27/2008
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