Lake Grove Senior Care LLC dba The Bristal at Lake Grove
Name
Lake Grove Senior Care LLC dba The Bristal at Lake Grove
Director
Mohammud M Alam, M.D.
Expiration Date
Phone Number
(631) 676-7580
UID (Facility ID - Site ID)
Z686-0000
Site ID
0000
City
Lake Grove
CLIA Number
33D2205594
Street Address
2995 Middle County Rd
State
NY
Zip Code
11755
County
Suffolk
Country
United States
Fax Number
(631) 676-7581
Primary Contact
Patricia Collins
Contact Phone Number
(631) 828-3501
Certificate Type
WAIVER
Tests
COVID-19 ANTIGEN
Glucose
Facility ID
Z686