Nport

NPI #1720494727 in Newburgh, New York

Provider Information

NPI Number
1720494727
Entity Type
Organization
Organization Name
Nport
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 10, 2014
Last Updated
Jul 10, 2014

Practice Location

Address
159 JOHNSTON ST
ZIP Code
12550-4523
Phone
(845) 418-8685

Authorized Official

Name
KHADIJAH LATISSE SIMMONDS
Title
CNA
Phone
(845) 418-8685

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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