Organization
ST. JOHNLAND NURSING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JEAN WEBER LNHA (CEO - ADMINISTRATOR)
(631) 269-5800
Entity
Organization
Contact information
Practice address
395 SUNKEN MEADOW RD, KINGS PARK, NY 11754-1000
(631) 269-5800
(631) 269-5876
Mailing address
395 SUNKEN MEADOW RD, KINGS PARK, NY 11754-1000
(631) 269-5800
(631) 269-5876
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5157902L
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01291029
—
NY
Enumeration date
11/08/2006
Last updated
05/06/2010
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