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Organization

FMNH LLC

Active
Other names
Flushing Manor Nursing & Rehabilitation LTHHC Program
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LISA RICCOBONI (DIRECTOR)
(718) 461-9117
Entity
Organization

Contact information

Practice address
3515 PARSONS BLVD, FLUSHING, NY 11354-4236
(718) 961-4300
Mailing address
3515 PARSONS BLVD, FLUSHING, NY 11354-4236
(718) 961-4300

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7003909L
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02512792
NY
Enumeration date
12/12/2006
Last updated
06/09/2009
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