| NPI | 1962052498 |
|---|---|
| Doing Business As | RANDOLPH GARDENS HEALTH AND REHABILITATION |
| Former Legal Business Name | PELICAN HEALTH RANDOLPH LLC |
| Entity Type | Organization |
| Authorized Contact | NAFTALI ZANZIPER President 917-297-7658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2026-02-19 |