Organization
SBNH ACQUISITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW BLATT (CONSULTANT)
(914) 630-4543
Entity
Organization
Contact information
Practice address
2175 QUARRY RD, BRONX, NY 10457-1663
(718) 960-3910
Mailing address
2175 QUARRY RD, BRONX, NY 10457-1663
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NY
Enumeration date
10/25/2017
Last updated
01/31/2020
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