Organization
MEADOWBROOK CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIMON PELMAN (OWNER/EXECUTIVE DIRECTOR)
(516) 377-8200
Entity
Organization
Contact information
Practice address
320 W MERRICK RD, FREEPORT, NY 11520-3248
(516) 377-8200
(516) 377-8275
Mailing address
320 W MERRICK RD, FREEPORT, NY 11520-3248
(516) 377-8200
(516) 377-8275
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2904301N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01678000
—
NY
Enumeration date
06/30/2005
Last updated
11/26/2007
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