Organization
GRANVILLE NURSING AND REHABILITATION CENTER LLC
Active
Parent organization
DMN MANAGEMENT SERVICES, LLC
Other names
THE ORCHARD 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
10421 STATE ROUTE 40, GRANVILLE, NY 12832-5713
(518) 642-2346
(518) 642-3870
Mailing address
10421 STATE ROUTE 40, GRANVILLE, NY 12832-5713
(518) 642-2346
(518) 642-3870
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5725303N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000400690009
BLUE SHIELD
NY
01
—
007991
EMPIRE BC
NY
05
—
01167931
—
NY
01
—
10054923
CDPHP
NY
01
—
302056
WELLCARE
NY
01
—
956381
MVP
NY
Enumeration date
06/18/2006
Last updated
11/22/2010
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