Provider Demographics
NPI:1699410654
Name:MOUNTAINVIEW REHABILITATION AND NURSING CENTER LLC
Entity Type:Organization
Organization Name:MOUNTAINVIEW REHABILITATION AND NURSING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MANDELBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-570-6018
Mailing Address - Street 1:180 SYLVAN AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-2512
Mailing Address - Country:US
Mailing Address - Phone:718-570-6018
Mailing Address - Fax:
Practice Address - Street 1:2309 STAFFORD AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18505-3686
Practice Address - Country:US
Practice Address - Phone:516-507-8465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care