Organization
ST. JOHNLAND NURSING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JEAN WEBER LNHA (CEO ADMINSTRATOR)
(631) 269-5800
Entity
Organization
Contact information
Practice address
395 SUNKEN MEADOW ROAD, ST. JOHNLAND NURSING CENTER, INC, KINGS PARK, NY 11780
(631) 269-5800
(631) 269-5876
Mailing address
395 SUNKEN MEADOW ROAD, ST. JOHNLAND NURSING CENTER, INC., KINGS PARK, NY 11780
(631) 269-5800
(631) 269-5876
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5157311N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00309393
—
NY
Enumeration date
08/05/2006
Last updated
08/22/2020
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