Organization
BANYAN AT MONTCLAIR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARI SILBERSTEIN (AUTHORIZED OFFICIAL)
(402) 333-2304
Entity
Organization
Contact information
Practice address
2525 S 135TH AVE, OMAHA, NE 68144-2424
(402) 333-2304
(402) 330-1428
Mailing address
265 E MERRICK RD STE 205, VALLEY STREAM, NY 11580-6004
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
10/06/2023
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