Provider Demographics
NPI:1407128838
Name:TRUSTEES OF THE JONES FUND FOR THE SUPPORT OF THE POOR
Entity Type:Organization
Organization Name:TRUSTEES OF THE JONES FUND FOR THE SUPPORT OF THE POOR
Other - Org Name:JONES MANOR ON THE SOUND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARDELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-628-1350
Mailing Address - Street 1:59 BAYVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:BAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11709-1654
Mailing Address - Country:US
Mailing Address - Phone:516-628-1350
Mailing Address - Fax:516-628-2839
Practice Address - Street 1:59 BAYVILLE AVE
Practice Address - Street 2:
Practice Address - City:BAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11709-1654
Practice Address - Country:US
Practice Address - Phone:516-628-1350
Practice Address - Fax:516-628-2839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility