Organization
HILLSIDE MANOR REHABILITATION AND EXTENDED CARE CENTER, LLC
Active
Other names
Hillside Manor Certified Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG WISSMANN (FINANCE DIRECTOR)
(718) 291-8200
Entity
Organization
Contact information
Practice address
18811 HILLSIDE AVE, HOLLIS, NY 11423-1935
(718) 291-3500
(718) 206-3790
Mailing address
18215 HILLSIDE AVE, JAMAICA, NY 11432-4853
(718) 291-8200
(718) 291-3790
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/12/2014
Last updated
04/07/2015
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