NPI Provider: 1114922689
Contact Name: Miele_powers Janet
Position: administrator nursing home
Phone: (718) 734-2266
Peninsula General Nursing Home Information:
Peninsula General Nursing Home organization have npi 1114922689, taxonomy code is 314000000X with license number is 7003308n in . This Business address located in 5015 Beach Channel Dr, Far Rockaway, NY 11691 New York.
Practice Location
Address: 5015 Beach Channel Dr, Far Rockaway, NY 11691
Phone: (718) 734-2266
Business Location
Address: 5015 Beach Channel Dr, Far Rockaway, NY 11691
Phone: (916) 652-5290
Taxonomy
Taxonomy Code: 314000000X
License Number: 7003308n
License Number of State: NY
Primary Taxonomy Switch: Y
Enumeration Date: 6/20/2005
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