Organization
MOFFAT GARDENS ALP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA JEAN MCFADDEN RN (PRESIDENT / C.E.O.)
(718) 928-3501
Entity
Organization
Contact information
Practice address
22 MOFFAT ST., ADMINISTRATIVE SUITE FIRST FLOOR, BROOKLYN, NY 11207
(718) 676-6130
Mailing address
22 MOFFAT ST., ADMINISTRATIVE SUITE FIRST FLOOR, BROOKLYN, NY 11207
(718) 676-6130
(866) 734-2751
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
331-S-009
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03356645
—
NY
Enumeration date
06/11/2014
Last updated
06/11/2014
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