Organization
GRANDELL REHAB & NURSING CTR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOISHE HELLER LNHA (ADMINSTRATOR)
(516) 889-1100
Entity
Organization
Contact information
Practice address
645 WEST BROADWAY, LONG BEACH, NY 11561-2902
(516) 889-1100
(516) 431-0398
Mailing address
645 WEST BROADWAY, LONG BEACH, NY 11561-2902
(516) 889-1100
(516) 431-0398
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0381774
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00308883
—
NY
Enumeration date
10/04/2006
Last updated
01/12/2012
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