Clove Lakes Snf Operations LLC
NPI #1023693926 in Staten Island, New York
Provider Information
- NPI Number
- 1023693926
- Entity Type
- Organization
- Organization Name
- Clove Lakes Snf Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 11, 2021
- Last Updated
- Mar 11, 2021
Practice Location
- Address
- 25 FANNING ST
- City
- Staten Island
- State
- New York
- ZIP Code
- 10314-5307
- Phone
- (718) 289-7900
Authorized Official
- Name
- SOLOMON KLEIN
- Title
- MEMBER
- Phone
- (307) 909-1811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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