NPI 1710355821

Laconia Nursing Homes

Organisation Adult Care Home Facility Bronx, NY

Practice location

Address: 3468 Fenton Ave Apartment 1b, Bronx, NY 10469-2032
Phone: (646) 305-8048

Authorised official

Name: Mary Eboh
Title: Cna
Phone: (646) 305-8048

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 323040 (NY)

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Registry record

NPI: 1710355821
Entity type: Organization
NPI issued: 4 Sep 2015
Record last updated: 4 Sep 2015

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.