Organization
STONEBROOK PROPERTIES LLC
Active
Organization
STONEBROOK PROPERTIES LLC
Active
Other names
Champlain Valley Senior Community
Organization subpart
No
Provider details
NPI number
Authorized official
ELI SCHWARTZBERG (OWNER/OPERATOR)
(518) 334-6868
Entity
Organization
Contact information
Practice address
10 GILLILAND LN, WILLSBORO, NY 12996-3726
(518) 334-6868
Mailing address
10 GILLILAND LN, WILLSBORO, NY 12996-3726
(518) 334-6868
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260-F-018
DOH LICENSE NUMBER
NY
Enumeration date
05/11/2021
Last updated
05/11/2021
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