33D0666243 CLIA NUMBER - JEWISH HOME LIFECARE - MANHATTAN

Laboratory Demographics

CLIA Number: 33D0666243

Facility Name: JEWISH HOME LIFECARE - MANHATTAN

Facility Address:
120 W 106TH STREET
NEW YORK, NY
ZIP 10025
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Facility Phone Number: 212 870-5015

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1104373133

Taxonomy: 261QA0600X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D0666243
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	JEWISH HOME LIFECARE - MANHATTAN
Street	120 W 106TH STREET
City	NEW YORK
State	NY
ZIP	10025
Phone	212 870-5015
CertificateType	4
CertificateEffectiveDate	3/9/2001
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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This page was last updated on: 4/23/2024