| NPI | 1508365990 |
|---|---|
| Doing Business As | PLATINUM RIDGE WELLNESS AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | PHILIP FRIEDMAN Managing Member 516-596-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |