Organization
HOME FOR THE AGED OF THE LITTLE SISTERS OF THE POOR
Active
Other names
Queen of Peace Residence
Organization subpart
No
Provider details
NPI number
Authorized official
CELINE VADUKKOOT (CEO AND ADMINISTRATOR)
(718) 464-1800
Entity
Organization
Contact information
Practice address
110-30 221ST STREET, QUEENS VILLAGE, NY 11429-2513
(718) 464-1800
Mailing address
110-30 221ST STREET, QUEENS VILLAGE, NY 11429-2513
(718) 464-1800
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7003303N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00311495
—
NY
Enumeration date
10/11/2006
Last updated
10/26/2016
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