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Organization

HUNTINGTON HILLS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARIE LISETTE JEANTY NURSE (REGISTERED NURSE)
(516) 284-7042
Entity
Organization

Contact information

Practice address
90 ALDEN AVE, VALLEY STREAM, NY 11580-1038
(516) 284-7042
(516) 284-7042
Mailing address
90 ALDEN AVE, VALLEY STREAM, NY 11580-1038
(516) 284-7042
(516) 284-7042

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
648256
NY
273Y00000X
Rehabilitation Hospital Unit
648256
NY
314000000X
Skilled Nursing Facility
64825
NY
314000000X
Skilled Nursing Facility
Primary
648256
NY

Other

Enumeration date
09/24/2012
Last updated
09/24/2012
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