Provider First Line Business Practice Location Address:
395 SUNKEN MEADOW ROAD
Provider Second Line Business Practice Location Address:
ST. JOHNLAND NURSING CENTER, INC
Provider Business Practice Location Address City Name:
KINGS PARK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11780
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-269-5800
Provider Business Practice Location Address Fax Number:
631-269-5876
Provider Enumeration Date:
08/05/2006