| NPI | 1003051632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDON MORRISON Lpn 516-705-4738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NY 251139) |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NY 251139) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2008-12-11 |