Our Lady Of Consolation

NPI 1205822400 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1205822400
Enumeration Date 09/22/2005
Last Updated 10/28/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JOHN J JOHN
Position VP OF FINANCE CONTINUING CARE
Phone (631) 587-1600
Fax (631) 587-3263
Practice Location
111 BEACH DR
WEST ISLIP NY, 11795-4929, US
Phone (631) 587-1600
Fax (631) 587-3263
Business Location
111 BEACH DR
WEST ISLIP NY, 11795-4929, US
Phone (631) 587-1600
Fax (631) 587-3263
Toxanomy
Taxonomy Code 314000000X
License State New York
License Number 5154319N
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According to our database, Our Lady Of Consolation NPI is 1205822400, taxonomy code is 314000000X and license number is 5154319N, license state is located at New York. Our Lady Of Consolation physically located at 111 Beach Dr, West Islip NY, 11795-4929. NPI Number 1033115704 has the healthcare provider type.

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1205822400 NPI number is provided on an as is basis without warranty of any kind. 1205822400 is maintained by the National Plan & Provider Enumeration System. The contents of Our Lady Of Consolation are for informational purposes only.