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Organization

ST. JOHNLAND NURSING CENTER , INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARY JEAN WEBER LNHA (CEO - ADMINISTRATOR)
(631) 269-5800
Entity
Organization

Contact information

Practice address
395 SUNKEN MEADOW RD, KINGS PARK, NY 11754-1000
(631) 269-5800
(631) 269-5876
Mailing address
395 SUNKEN MEADOW RD, KINGS PARK, NY 11754-1000
(631) 269-5800
(631) 269-5876

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
5157311N
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01064337
NY
Enumeration date
11/08/2006
Last updated
11/24/2014
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