Organization
MIDDLETOWN PARK MANOR
Active
Other names
Park Manor Rehabilitation and Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA BANKER MANN (ADMINISTRATOR)
(845) 343-0801
Entity
Organization
Contact information
Practice address
121 DUNNING RD, MIDDLETOWN, NY 10940-2243
(845) 343-0801
(845) 343-1838
Mailing address
121 DUNNING RD, MIDDLETOWN, NY 10940-2243
(845) 343-0801
(845) 343-1838
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3501303N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00720989
—
NY
Enumeration date
09/20/2005
Last updated
08/22/2020
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