Organization
LONG ISLAND LIVING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY EDELMAN (PRESIDENT)
(718) 327-2700
Entity
Organization
Contact information
Practice address
431 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3621
(718) 327-2700
Mailing address
431 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3621
(718) 327-2700
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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