Organization
SHI-III CORAM LLC
Active
Other names
All American Assisted Living at Coram
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND DIOGUARDI (COO/CFO)
(516) 496-1505
Entity
Organization
Contact information
Practice address
463 MIDDLE COUNTRY RD, CORAM, NY 11727-3758
(631) 997-0010
Mailing address
SHI-III CORAM, LLC C/O KAPLAN DEVELOPMENT GROUP, 100 JERICHO QUADRANGLE, SUITE 142, JERICHO, NY 11753
(516) 496-1505
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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