Organization
DAUGHTERS OF JACOB NURSING HOME COMPANY, INC.
Active
Other names
DOJ Assisted Living Program Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ROZENBERG (CEO)
(718) 931-9700
Entity
Organization
Contact information
Practice address
1160 TELLER AVE, BRONX, NY 10456-4145
(718) 293-1500
Mailing address
4770 WHITE PLAINS RD, BRONX, NY 10470-1104
(718) 931-9700
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04117277
—
NY
Enumeration date
04/10/2015
Last updated
10/24/2018
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