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Organization

SULLIVAN MANOR LLC

Active
Other names
Sullivan Gardens
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN ROSENMAN (OWNER)
(917) 805-6446
Entity
Organization

Contact information

Practice address
6319 STATE ROUTE 97, NARROWSBURG, NY 12764-5264
(917) 805-6446
Mailing address
6319 STATE ROUTE 97, NARROWSBURG, NY 12764-5264

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2607L001
NY

Other

Enumeration date
10/11/2016
Last updated
10/11/2016
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