NPI 1063697092
Green Valley Snf LLC
Practice location
- Address
- 3034 S Dupont Blvd, Smyrna, DE 19977-1898
- Phone
- (302) 653-5085
- Mailing address
- 400 Rella Blvd STE 200, Montebello, NY 10901-4239
Authorised official
- Name
- Faige Shoshana
- Title
- Director of Contracting
- Phone
- (732) 551-4803
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1063697092
- Entity type
- Organization
- NPI issued
- 9 Jan 2008
- Record last updated
- 19 Jun 2020
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.