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Organization

BARRE GARDENS NURSING AND REHAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AKIVA GLATZER (MANAGING MEMBER)
(516) 505-0000
Entity
Organization

Contact information

Practice address
378 PROSPECT STREET, BARRE, VT 05641-5421
(802) 476-4166
(802) 479-5679
Mailing address
99 W HAWTHORNE AVENUE, SUITE 508, VALLEY STREAM, NY 11580-6101
(516) 505-0000
(646) 943-5896

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
0270000189
VT
314000000X
Skilled Nursing Facility
Primary
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0475037
VT
Enumeration date
11/04/2005
Last updated
03/08/2017
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