Organization
SENTINEL OF MOHEGAN LAKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG ROSEN (COO)
(845) 363-8168
Entity
Organization
Contact information
Practice address
3441 LEXINGTON AVE, MOHEGAN LAKE, NY 10547-1278
(914) 528-3512
Mailing address
167 ROUTE 304, BARDONIA, NY 10954-2050
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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