MEADOWBROOK MANOR NPI 1972963643

NPI Information

MEADOWBROOK MANOR is an adult care home custodial care facility in Hannibal, NY. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. MEADOWBROOK MANOR NPI is 1972963643. The provider is registered as an organization entity type.

The provider's business location address is:

31 OSWEGO ST
HANNIBAL, NY
ZIP 13074-115
Phone: (315) 564-5555
Fax: (315) 564-5555

The provider's authorized official is Bien J Concepcion .
The authorized official title is President and has the following contact phone number (224) 520-0320.

The enumeration date for this NPI number is 2/24/2016 and was last updated on 2/24/2016.

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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