Organization
BUENA VIDA CORP
Active
Other names
Buena Vida Continuing Care
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA RIVERA (DIRECTOR)
(718) 484-0863
Entity
Organization
Contact information
Practice address
48 CEDAR ST, BROOKLYN, NY 11221-3253
(718) 455-6200
(718) 452-7681
Mailing address
48 CEDAR ST, BROOKLYN, NY 11221-3253
(718) 455-6200
(718) 452-7681
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7001383N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02144049
—
NY
Enumeration date
06/16/2005
Last updated
09/05/2018
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