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NPI Code Detail

MEDICARE: NEW SEA CREST HEALTH CARE CENTER, LLC

MEDICARE: NEW SEA CREST HEALTH CARE CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1154504405
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW SEA CREST HEALTH CARE CENTER, LLC
Provider Business Mailing Address
First Line : 3035 W 24TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11224-2114
Country : US
Telephone Number : 718-372-4500
Fax Number : 718-372-4579
Provider Business Practice Location Address
First Line : 3035 W 24TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11224-2114
Country : US
Telephone Number : 718-372-4500
Fax Number : 718-372-4579
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. CATHERINE ROSE
Credential :
Telephone Number : 718-372-4500
Provider Enumeration Date : 12/10/2007
Last Update Date : 10/28/2008

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