Organization
EAST HAVEN NURSING AND REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRACY VARGHESE (ADMINISTRATOR)
(718) 655-2848
Entity
Organization
Contact information
Practice address
2323 EASTCHESTER RD, BRONX, NY 10469-5910
(718) 655-2848
(347) 334-7563
Mailing address
3530 WAYNE AVE, BRONX, NY 10467-1511
(718) 655-1700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7000360N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00311317
—
NY
Enumeration date
02/14/2006
Last updated
04/15/2024
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