| NPI | 1215930292 |
|---|---|
| Doing Business As | MEADOWBROOK HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | PAUL F. RICHARDS Administrator 518-563-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 0901303n) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2019-12-31 |