Organization
KINGSTON NH OPERATION LLC
Active
Other names
Ten Broeck Center for Rehabilitation & Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SOLOMON KLEIN (MEMBER)
(307) 909-1811
Entity
Organization
Contact information
Practice address
1 COMMONS DR, LAKE KATRINE, NY 12449-5149
(845) 336-6666
(845) 336-4014
Mailing address
1 COMMONS DR, LAKE KATRINE, NY 12449-5149
(845) 336-6666
(845) 336-4014
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01403185
—
NY
Enumeration date
09/20/2018
Last updated
10/08/2018
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