| NPI | 1023091840 |
|---|---|
| Doing Business As | VIVIAN TEAL HOWARD RESIDENTIAL FACILITY |
| Entity Type | Organization |
| Authorized Contact | LOUISE OTOOLE CFO 315-475-1641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 3301326N) |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2007-09-10 |