Organization
BV LAKE TAPPAN OPERATOR LLC
Active
Other names
Brightview Lake Tappan
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYNN K DUKER (BV LAKE TAPPAN OPERATOR LLC BY MARI)
(410) 962-0595
Entity
Organization
Contact information
Practice address
31 HUNT ROAD, ORANGEBURG, NY 10962
(845) 474-2050
(845) 458-8271
Mailing address
31 HUNT ROAD, ORANGEBURG, NY 10962
(845) 474-2050
(845) 458-8271
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
05/16/2018
Last updated
12/29/2021
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