Organization
BROOKHAVEN REHABILITATION AND HEALTH CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEBORAH A FLACK (ADMINISTRATOR)
(718) 471-7500
Entity
Organization
Contact information
Practice address
250 BEACH 17TH ST, FAR ROCKAWAY, NY 11691-4420
(718) 471-7500
(718) 327-9074
Mailing address
250 BEACH 17TH ST, FAR ROCKAWAY, NY 11691-4420
(718) 471-7500
(718) 327-9074
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010144884
—
VA
05
—
02046826
—
NY
Enumeration date
01/26/2007
Last updated
06/02/2016
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