Gloria Jackson
Gloria Jackson is a Skilled Nursing Facility in Lindenhurst, New York. Licensed in New York. Registered with an NPI since 2013.
- Licensed in
- NY
- In the registry since
- 2013
Practice location Address checks out
525 S 9th StLindenhurst, NY 11757-4529
Phone: (631) 226-3901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 252415-1 (NY) |
|---|
Record details
| NPI number | 1013352079 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gloria Jackson — Lpn · (631) 226-3901 |
| NPI enumerated | May 5, 2013 |
| Last updated in NPPES | May 5, 2013 |
| Mailing address | 525 S 9th St, Lindenhurst, NY 11757-4529 |