Organization
SPLIT ROCK ADULT DAY HEALTH CARE
Active
Parent organization
SPLIT ROCK NURSING AND REHAB
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPLIT ROCK NURSING AND REHAB
Authorized official
AJ WEISS (CONTROLLER)
(718) 670-6300
Entity
Organization
Contact information
Practice address
3525 BAYCHESTER AVE, BRONX, NY 10466-5001
(718) 798-8900
(855) 570-0752
Mailing address
3525 BAYCHESTER AVE, BRONX, NY 10466-5001
(718) 798-8900
(855) 570-0752
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
7000384N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01120103
—
NY
Enumeration date
07/18/2007
Last updated
04/16/2015
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