- Enrollment id
- O20031105000083
- Enrollment state
- NY
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1033220199
- Multiple npi flag
- N
- Ccn
- 335148
- Associate id
- 1153233366
- Organization name
- RAMAPO MANOR NURSING CENTER INC
- Doing business as name
- THE WILLOWS AT RAMAPO REHABILITATION AND NURSING CENTER
- Incorporation date
- 1986-07-10
- Incorporation state
- NY
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Nursing home provider name
- THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER
- Affiliation entity name
- CARERITE CENTERS
- Affiliation entity id
- 110
- Address line 1
- 30 CRAGMERE RD
- City
- AIRMONT
- State
- NY
- Zip code
- 109017520