33D2222789 CLIA NUMBER - SEAVIEW MANOR LLC

Laboratory Demographics

CLIA Number: 33D2222789

Facility Name: SEAVIEW MANOR LLC

Facility Address:
210 BEACH 47TH ST
FAR ROCKAWAY, NY
ZIP 11691
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Facility Phone Number: 718 471-1311

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1205436037

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name Field Value
CLIA Number 33D2222789
LAB Type Assisted Living Facility
Facility Name SEAVIEW MANOR LLC
Street 210 BEACH 47TH ST
City FAR ROCKAWAY
State NY
ZIP 11691
Phone 718 471-1311
CertificateType 4
CertificateEffectiveDate 4/30/2021
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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