NPI | 1033827076 |
---|---|
Doing Business As | ROYAL OF FAIRHAVEN NURSING CENTER |
Entity Type | Organization |
Authorized Contact | ELI ROBERTS Authorized Representative 929-645-0150 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2022-11-08 |
Last Update Date | 2022-11-09 |