Organization
BELLHAVEN MANAGEMENT LLC
Active
Other names
bellhaven center for rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E GROS (EXECTUIVE DIRECTOR)
(631) 286-8100
Entity
Organization
Contact information
Practice address
110 BEAVER DAM RD, BROOKHAVEN, NY 11719
(631) 286-8100
(718) 732-2481
Mailing address
14116 72 AVE, FLUSHING, NY 11367
(631) 286-8100
(718) 732-2481
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01285730
—
NY
05
—
01449090
—
NY
05
—
03025216
—
NY
Enumeration date
01/06/2010
Last updated
01/06/2010
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