NESCONSET ACQUISITION LLC

Custodial Care Facility · MIDDLE ISLAND, NY

Organization Active NPI 1750538054

Taxonomy & licensure

Specialty	Code	Primary	License	State
Custodial Care Facility	311Z00000X	✓	5157315N	NY
Skilled Nursing Facility	314000000X		5157507N	NY

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DANTE SHACKLEFORD
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DEPARTMENT OF JUSTICE BUREAU OF PRISONS
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See all Custodial Care Facility providers in New York →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.