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Organization

LUTHERAN AUGUSTANA CENTER FOR EXTENDED CARE AND REHABILITATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JEANNE LEE (PRESIDENT)
(718) 630-6125
Entity
Organization

Contact information

Practice address
5434 2ND AVE, BROOKLYN, NY 11220-2606
(718) 630-6125
(718) 630-6108
Mailing address
5434 2ND AVE, BROOKLYN, NY 11220-2606
(718) 630-6125
(718) 630-6108

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
03A0558
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00310343
NY
Enumeration date
09/14/2005
Last updated
07/21/2015
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