Organization
MMR CARE CORP
Active
Other names
Daleview Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY KOCHANIWSKY LNHA (ADMINISTRATOR)
(516) 694-9800
Entity
Organization
Contact information
Practice address
574 FULTON ST, FARMINGDALE, NY 11735-7407
(516) 694-9800
(516) 694-6496
Mailing address
574 FULTON ST, FARMINGDALE, NY 11735-7407
(516) 694-9800
(516) 694-6496
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5150302N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01719626
—
NY
01
—
0524
PFI NUMBER
NY
01
—
5150302
OPERATING CERTIFICATE
NY
Enumeration date
11/01/2005
Last updated
08/28/2017
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