Organization
FAMILY RESIDENCES AND ESSENTIAL ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAGGIE RAABE RN (DIRECTOR OF NURSING)
(631) 273-1300
Entity
Organization
Contact information
Practice address
35 HAGERMAN AVE APT 3, MEDFORD, NY 11763-2145
(631) 447-6464
(631) 776-8031
Mailing address
35 HAGERMAN AVE APT 3, MEDFORD, NY 11763-2145
(631) 447-6464
(631) 776-8031
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
416-909
NY
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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