Organization
PETITE FLEUR NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA A SANTMANN (ADMINISTRATOR)
(631) 567-9300
Entity
Organization
Contact information
Practice address
300 BROADWAY AVENUE, SAYVILLE, NY 11782-1628
(631) 567-9300
(631) 567-6929
Mailing address
300 BROADWAY AVENUE, SAYVILLE, NY 11782-1628
(631) 567-9300
(631) 567-6929
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5154311N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01374230
—
NY
01
—
0357060001
DMERC PIN #/NSC#
NY
01
—
5154311N
NY OPERATING CERTIFICATE
NY
Enumeration date
10/03/2006
Last updated
08/22/2020
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