Organization
AHRC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LLIWELYN T COOLEY RN (RN)
(646) 752-8730
Entity
Organization
Contact information
Practice address
3171 LAYTON AVE, BRONX, NY 10465-1512
(646) 752-8730
Mailing address
3171 LAYTON AVE, BRONX, NY 10465-1512
(646) 752-8730
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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