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Organization

JANSEN ROAD NURSING AND REHABILITATION CENTER LLC

Active
Parent organization
DMN MANAGEMENT SERVICES , LLC
Other names
THE MOUNTAIN VIEW NURSING AND REHABILITATION CENTRE
Organization subpart
Yes

Provider details

NPI number
Legal business name
DMN MANAGEMENT SERVICES , LLC
Authorized official
PATRICK MARTONE (CEO)
(518) 346-9640
Entity
Organization

Contact information

Practice address
1 JANSEN RD, NEW PALTZ, NY 12561-3811
(845) 255-0830
(845) 255-0855
Mailing address
1 JANSEN RD, NEW PALTZ, NY 12561-3811
(845) 255-0830
(845) 255-0855

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5522302N
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000400690009
BLUE SHIELD
NY
05
00311064
NY
01
007991
EMPIRE BC
NY
01
10054923
CDPHP
NY
01
302056
WELLCARE
NY
01
956381
MVP
NY
Enumeration date
06/19/2006
Last updated
11/22/2010
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