Sentinel Of Mohegan Lake LLC
Home Health in Mohegan Lake, NY. Organization (NPI-2).
NPI number1114587243
StatusActive
Last updated in NPPESJun 20, 2019
Details
- NPI
- 1114587243
- Entity type
- Organization (NPI-2)
- Legal business name
- Sentinel Of Mohegan Lake LLC
- Organization subpart
- No
- Enumeration date
- Jun 20, 2019
- Last updated
- Jun 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
3441 Lexington AveMohegan Lake, NY 10547-1278
Phone 914-528-3512
Mailing address
167 Route 304Bardonia, NY 10954-2050
Authorized official
Gregg Rosen
Coo
8453638168
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