| NPI | 1023424827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORENE A ESSIEN-ETOKIMOH Adminitratorr 267-686-4872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |