Organization
BROOKLYN UNITED METHODIST CHURCH HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA D PITTERSON (CFO)
(718) 827-4500
Entity
Organization
Contact information
Practice address
1485 DUMONT AVE, BROOKLYN, NY 11208-4705
(718) 827-4500
(718) 827-7719
Mailing address
1485 DUMONT AVE, BROOKLYN, NY 11208-4705
(718) 827-4500
(718) 827-7719
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7001308N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00310747
—
NY
05
—
02324225
—
NY
Enumeration date
08/19/2006
Last updated
01/27/2015
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