Organization
PARK MANOR ACQUISITION II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZER JOZEFOVIC (MEMBER)
(845) 343-0801
Entity
Organization
Contact information
Practice address
121 DUNNING RD, MIDDLETOWN, NY 10940-2243
(845) 343-0801
(845) 343-1838
Mailing address
121 DUNNING RD, MIDDLETOWN, NY 10940-2243
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NY
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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