Organization
MANHATTANVILLE SBV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTY LOEB (DIRECTOR OF OPERATIONS)
(718) 601-8400
Entity
Organization
Contact information
Practice address
311 W 231ST ST, BRONX, NY 10463-3804
(718) 601-8400
(718) 601-5038
Mailing address
311 W 231ST ST, BRONX, NY 10463-3804
(718) 601-8400
(718) 601-5038
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
700355N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01101615
—
NY
Enumeration date
09/22/2005
Last updated
08/22/2020
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