Organization
VILLA FRANCES AT THE KNOLLS
Active
Other names
Schervier Pavilion
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA BROCKY (ADMINISTRATOR)
(845) 987-5710
Entity
Organization
Contact information
Practice address
22 VAN DUZER PL, WARWICK, NY 10990-1014
(845) 987-5710
(845) 987-1368
Mailing address
22 VAN DUZER PL, WARWICK, NY 10990-1014
(845) 987-5710
(845) 987-1368
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015163
EMPIRE BLUE CROSS
NY
05
—
01588710
—
NY
01
—
A767936
OXFORD PROVIDER ID
NY
Enumeration date
10/18/2005
Last updated
01/12/2013
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