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Organization

NURSING CARE CENTER AT MEDFORD INC

Active
Other names
Medford Multicare Center
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL F LEAHY (CONTROLLER)
(631) 730-3016
Entity
Organization

Contact information

Practice address
3115 HORSEBLOCK RD, MEDFORD, NY 11763
(631) 730-3016
(631) 730-3131
Mailing address
3115 HORSEBLOCK RD, MEDFORD, NY 11763
(631) 730-3016
(631) 730-3131

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5151319N
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02357679
NY
Enumeration date
10/24/2005
Last updated
04/14/2010
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