Organization
SRZ OP ASHTON LLC
Active
Other names
Polaris Health & Wellness of Ashton Court
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL GOLDNER (AUTHORIZED PERSON)
(516) 727-1634
Entity
Organization
Contact information
Practice address
1200 W COLLEGE ST, LIBERTY, MO 64068-1036
(816) 781-3020
(816) 792-4043
Mailing address
525 CHESTNUT ST STE 102, CEDARHURST, NY 11516-2223
(516) 727-1634
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
09/16/2022
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