Pinegrove Manor Ii, LLC
NPI #1255334082 in Great Neck, New York
Provider Information
- NPI Number
- 1255334082
- Entity Type
- Organization
- Organization Name
- Pinegrove Manor Ii, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 24, 2005
- Last Updated
- Sep 3, 2015
Practice Location
- Address
- 15 SAINT PAULS PL
- City
- Great Neck
- State
- New York
- ZIP Code
- 11021-2636
- Phone
- (516) 466-3001
Authorized Official
- Name
- MS. KIMBERLY SODANO
- Title
- ADMINISTRATOR
- Phone
- (516) 466-3001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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