Organization
ADULT DAY HEALTH CARE
Active
Parent organization
PENINSULA GENERAL NURSING HOME
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENINSULA GENERAL NURSING HOME
Authorized official
JANET MIELE-POWERS (ADMINISTRATOR)
(718) 734-2750
Entity
Organization
Contact information
Practice address
5015 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-1110
(718) 734-2548
(718) 734-2545
Mailing address
5015 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-1110
(718) 734-2548
(718) 734-2545
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
7003308N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00332843
—
NY
Enumeration date
08/18/2008
Last updated
08/18/2008
About Stedi
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