Organization
PROMENADE NURSING HOME, INC
Active
Other names
Promenade Rehabilitation and Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER GROSS (ASSOCIATE ADMINISTRATOR)
(718) 945-4600
Entity
Organization
Contact information
Practice address
140 BEACH 114TH ST, ROCKAWAY PARK, NY 11694-2405
(718) 945-4600
(718) 634-8237
Mailing address
140 BEACH 114TH ST, ROCKAWAY PARK, NY 11694-2405
(718) 945-4600
(718) 634-8237
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
7003386N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00308907
—
NY
Enumeration date
01/16/2007
Last updated
02/11/2008
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