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Contact Information

FAMILY RESIDENCES AND ESSENTIAL ENTERPRISES
35 HAGERMAN AVE APT 3
MEDFORD, NY11763-2145
 Phone: 631-447-6464
 Fax: 631-776-8031
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for FAMILY RESIDENCES AND ESSENTIAL ENTERPRISES

NPI Number 1316267040
LBN Legal business name FAMILY RESIDENCES AND ESSENTIAL ENTERPRISES
Authorized official MAGGIE RAABE - (DIRECTOR OF NURSING)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2010
Last updated 06/04/2010 - About 16 years ago
Identifiers
NY License # 416-909
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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