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NPI Code Detail

MEDICARE: JGB HEALTH FACILITIES CORP.

MEDICARE: JGB HEALTH FACILITIES CORP.
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 Facility5907313NNY

General Provider Information

NPI Number : 1063740496
Entity Type Code : Organization
Provider Name (Legal Business Name) : JGB HEALTH FACILITIES CORP.
Provider Business Mailing Address
First Line : 15 W 65TH ST
Second Line : FINANCE DEPARTMENT
City : NEW YORK
State : NY
Zip : 10023-6601
Country : US
Telephone Number : 212-769-6200
Fax Number : 212-769-7838
Provider Business Practice Location Address
First Line : 100 W KINGSBRIDGE RD
Second Line : JEWISH HOME LIFECARE - BRONX DIVISION
City : BRONX
State : NY
Zip : 10468-3961
Country : US
Telephone Number : 212-769-6212
Fax Number : 212-875-9461
Authorized Official
Title or Position : PRESIDENT & CEO
Name : DR. ALAN R MORSE
Credential :
Telephone Number : 212-769-6215
Provider Enumeration Date : 11/23/2009
Last Update Date : 08/13/2012

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Directions to “JGB HEALTH FACILITIES CORP. ” Practice Location

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