33D0712114 CLIA NUMBER - SPLIT ROCK REHABILITATION AND HEALTH CARE CENTER

Laboratory Demographics

CLIA Number: 33D0712114

Facility Name: SPLIT ROCK REHABILITATION AND HEALTH CARE CENTER

Facility Address:
3525 BAYCHESTER AVE
BRONX, NY
ZIP 10466
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Facility Phone Number: 718 798-8900

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1275733297

Taxonomy: 261QA0600X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	33D0712114
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	SPLIT ROCK REHABILITATION AND HEALTH CARE CENTER
Street	3525 BAYCHESTER AVE
City	BRONX
State	NY
ZIP	10466
Phone	718 798-8900
CertificateType	4
CertificateEffectiveDate	2/22/2010
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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