MERMAID MANOR HFA NPI 1861685778

NPI Information

MERMAID MANOR HFA is an assisted living facility in Brooklyn, NY. The provider is 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. MERMAID MANOR HFA NPI is 1861685778. The provider is registered as an organization entity type.

The provider's business location address is:

3602 MERMAID AVE
BROOKLYN, NY
ZIP 11224-511
Phone: (718) 266-2100
Fax: (718) 333-1802

The provider's authorized official is Bert Fried .
The authorized official title is Owner/operator and has the following contact phone number (718) 266-2100.

The CLIA number assigned to this NPI record is 33D2221908 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2007 and was last updated on 8/23/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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