Organization
HILLSIDE MANOR REHABILITATION AND EXTENDED CARE CENTER, LLC
Active
Other names
Hillside Manor Adult Day Health Care Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG WISSMANN (FINANCE DIRECTOR)
(718) 291-8200
Entity
Organization
Contact information
Practice address
18811 HILLSIDE AVE, HOLLIS, NY 11423-1935
(718) 264-6700
(718) 264-6777
Mailing address
18811 HILLSIDE AVE, HOLLIS, NY 11423-1935
(718) 264-6700
(718) 264-6777
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02065901
—
NY
Enumeration date
10/20/2006
Last updated
08/22/2020
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