Organization
PINE VALLEY CENTER LLC
Active
Other names
Pine Valley Center for Rehabilitation and Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL TROPPER (ADMINISTRATOR)
(845) 426-5600
Entity
Organization
Contact information
Practice address
661 N MAIN ST, SPRING VALLEY, NY 10977-2319
(845) 426-5600
(845) 352-2704
Mailing address
661 N MAIN ST, SPRING VALLEY, NY 10977-2319
(845) 426-5600
(845) 352-2704
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
207RG0300X
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00311082
—
NY
Enumeration date
09/29/2005
Last updated
10/27/2023
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