Organization
CLOVE LAKES HEALTH CARE AND REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORRI ANN SCULLIN-SENK LNHA (ADMINISTRATOR)
(718) 289-7890
Entity
Organization
Contact information
Practice address
25 FANNING ST, STATEN ISLAND, NY 10314-5307
(718) 289-7900
(718) 289-7028
Mailing address
25 FANNING ST, STATEN ISLAND, NY 10314-5307
(718) 289-7900
(718) 289-7028
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7004305N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00309884
—
NY
Enumeration date
06/16/2005
Last updated
07/22/2014
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