Organization
MADISON YORK ASSISTED LIVING COMMUNITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIBOR KLEIN (OPERATOR)
(718) 446-7900
Entity
Organization
Contact information
Practice address
11214 CORONA AVE, CORONA, NY 11368-4022
(718) 699-4100
(718) 446-7938
Mailing address
11214 CORONA AVE, CORONA, NY 11368-4022
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
590-F-310
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02780610
—
NY
Enumeration date
07/02/2007
Last updated
08/22/2020
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