Organization
LINDA HALL LPN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA SADE HALL (LPN)
(631) 655-7719
Entity
Organization
Contact information
Practice address
166 NEIGHBORHOOD RD, MASTIC BEACH, NY 11951-3911
(631) 655-7719
Mailing address
166 NEIGHBORHOOD RD, MASTIC BEACH, NY 11951-3911
(631) 655-7719
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
303395-1
NY
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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