Organization
PROMESA RESIDENTIAL HEALTH CARE FACILITY, INC.
Active
Other names
CASA PROMESA
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY GATELL (CHIEF FINANCIAL OFFICER)
(718) 960-7568
Entity
Organization
Contact information
Practice address
308 E 175TH STREET, BRONX, NY 10457
(347) 649-3083
(347) 649-3090
Mailing address
311 E 175TH ST, BRONX, NY 10457-5859
(718) 960-7568
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01547355
—
NY
Enumeration date
06/01/2006
Last updated
09/23/2022
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