Organization
GERTRUDE NELSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GERTRUDE DELORES NELSON RN, BSW, MPH (OWNER)
(845) 426-2601
Entity
Organization
Contact information
Practice address
8 PAULINE CT, SPRING VALLEY, NY 10977-6529
(845) 426-2601
Mailing address
8 PAULINE CT, SPRING VALLEY, NY 10977-6529
(845) 426-2601
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
352891-1
NY
Other
Enumeration date
11/16/2007
Last updated
02/08/2008
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