PROVIDENCE REST

Skilled Nursing Facility

Active Organization
NPI: 1063411262

Practice Address

3304 WATERBURY AVE
Bronx, NY 10465

Phone: (718) 931-3000

Specialties

Specialty Code Primary License
Respite Care 385H00000X No 7000306N (NY)
Skilled Nursing Facility 314000000X Yes 7000306N (NY)

Frequently Asked Questions

NPI 1063411262 is the National Provider Identifier for PROVIDENCE REST, a Skilled Nursing Facility provider located in Bronx, NY. This NPI was enumerated on July 19, 2005.

Quick Facts

NPI
1063411262
Type
Organization
Enumerated
Jul 19, 2005
Last Updated
Jul 8, 2015

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