Healthcare Provider Details
I. General information
NPI: 1699101048
Provider Name (Legal Business Name): NEW FRANKLIN REHABILITATION AND HEALTH CARE FACILITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/17/2013
Last Update Date: 05/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4515 162ND ST
FLUSHING NY
11358-3157
US
IV. Provider business mailing address
14227 FRANKLIN AVE
FLUSHING NY
11355-2629
US
V. Phone/Fax
- Phone: 718-670-3400
- Fax:
- Phone: 718-670-3400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
A J
WEISS
Title or Position: FINANCE
Credential:
Phone: 718-670-6300