Healthcare Provider Details

I. General information

NPI: 1841262904
Provider Name (Legal Business Name): LAWRENCE NURSING CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 09/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 BEACH 54TH ST
ARVERNE NY
11692-1782
US

IV. Provider business mailing address

350 BEACH 54TH ST
ARVERNE NY
11692-1782
US

V. Phone/Fax

Practice location:
  • Phone: 718-945-0400
  • Fax: 718-634-4195
Mailing address:
  • Phone: 718-945-0400
  • Fax: 718-945-5954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL KRAUS
Title or Position: ADMINISTRATOR
Credential:
Phone: 718-945-0400