Organization
SOUTH SHORE MANOR HOME FOR ADULTS
Active
Other names
New South Shore Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER GRAJALES (DIRECTOR OF SPECIAL PROJECTS)
(347) 988-4535
Entity
Organization
Contact information
Practice address
1041 E 83RD ST, BROOKLYN, NY 11236-4225
(718) 241-7035
Mailing address
2357 60TH ST, BROOKLYN, NY 11204-2689
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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