Organization
SHEEPSHEAD ADULT DAY HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME KAHAN (ADMINISTRATOR)
(718) 646-2400
Entity
Organization
Contact information
Practice address
3900 SHORE PKWY, BROOKLYN, NY 11235-1130
(718) 646-2400
Mailing address
3900 SHORE PKWY, BROOKLYN, NY 11235-1130
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7001362N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02997331
—
NY
Enumeration date
10/23/2014
Last updated
10/23/2014
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