New Haven Manor Home for Adults, LLC
NPI #1346840121 in Far Rockaway, New York
Provider Information
- NPI Number
- 1346840121
- Entity Type
- Organization
- Organization Name
- New Haven Manor Home for Adults, LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Oct 29, 2020
- Last Updated
- Oct 29, 2020
Practice Location
- Address
- 1526 NEW HAVEN AVE
- City
- Far Rockaway
- State
- New York
- ZIP Code
- 11691-5148
- Phone
- (718) 471-7200
Authorized Official
- Name
- JENNIFER GRAJALES
- Title
- PROJECT MANAGER
- Phone
- (347) 988-4535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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