Organization
GK CORAM OPERATING, LLC
Active
Other names
All American Assisted Living at Coram
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND DIOGUARDI (COO/CFO)
(516) 496-1505
Entity
Organization
Contact information
Practice address
463 MIDDLE COUNTRY RD, CORAM, NY 11727-3758
(516) 997-0010
Mailing address
100 JERICHO QUADRANGLE STE 142, JERICHO, NY 11753-2702
(516) 496-1505
(516) 209-0019
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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