Organization
PROVIDENCE REST OUTPATIENT REHABILITATION
Active
Parent organization
PROVIDENCE REST NURSING HOME
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE REST NURSING HOME
Authorized official
MRS. MARIA SPINA (ACCOUNTS RECEIVABLE SUPERVISOR)
(718) 931-3000
Entity
Organization
Contact information
Practice address
3304 WATERBURY AVE, BRONX, NY 10465-1554
(718) 931-3000
Mailing address
3304 WATERBURY AVE, BRONX, NY 10465-1554
(718) 931-3000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7000306N
NY
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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