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Organization

SHADY KNOLL ACQUISITION OPERATOR LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARC EPHRAM OSTREICHER (MANAGING MEMBER)
(516) 705-4806
Entity
Organization

Contact information

Practice address
41 SKOKORAT ST, SEYMOUR, CT 06483-3826
(203) 881-2555
(203) 881-0853
Mailing address
20 E SUNRISE HWY FL 2, VALLEY STREAM, NY 11581-1260
(516) 705-4803

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
07/15/2024
Last updated
07/15/2024
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