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NPI Code Detail

MEDICARE: SOMERS OPERATING LLC

MEDICARE: SOMERS OPERATING 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 : 1295253284
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOMERS OPERATING LLC
Provider Business Mailing Address
First Line : 189 ROUTE 100
Second Line :
City : SOMERS
State : NY
Zip : 10589-2811
Country : US
Telephone Number : 201-731-1700
Fax Number :
Provider Business Practice Location Address
First Line : 189 ROUTE 100
Second Line :
City : SOMERS
State : NY
Zip : 10589-2811
Country : US
Telephone Number : 201-731-1700
Fax Number :
Authorized Official
Title or Position : CEO
Name : MARK FRIEDMAN
Credential :
Telephone Number : 201-731-1700
Provider Enumeration Date : 08/30/2017
Last Update Date : 12/07/2017

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Directions to “SOMERS OPERATING LLC ” Practice Location

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