NPI 1013352079

Gloria Jackson

Organisation Skilled Nursing Facility Lindenhurst, NY

Practice location

Address: 525 S 9th St, Lindenhurst, NY 11757-4529
Phone: (631) 226-3901

Authorised official

Name: Gloria Jackson
Title: Lpn
Phone: (631) 226-3901

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 252415-1 (NY)

Other Skilled Nursing Facility providers in New York →

Registry record

NPI: 1013352079
Entity type: Organization
NPI issued: 5 May 2013
Record last updated: 5 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.