Organization
SPRAIN BROOK MANOR REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISRAEL NACHFOLGER RN (CFO)
(845) 596-6633
Entity
Organization
Contact information
Practice address
77 JACKSON AVE, SCARSDALE, NY 10583-3140
(914) 472-3200
Mailing address
77 JACKSON AVE, SCARSDALE, NY 10583-3140
(914) 472-3200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308338
—
NY
Enumeration date
06/21/2012
Last updated
06/30/2022
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