Organization
HIGHLAND CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORDECAI ZIDELE (CONTROLLER)
(718) 657-6363
Entity
Organization
Contact information
Practice address
9131 175TH ST, JAMAICA, NY 11432-5517
(718) 657-6363
(718) 657-2725
Mailing address
9131 175TH ST, JAMAICA, NY 11432-5517
(718) 657-6363
(718) 657-2725
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7003363N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01108727
—
NY
Enumeration date
11/17/2006
Last updated
08/18/2008
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