PROVIDENCE REST

BRONX, NY
NPI1063411262
Entity TypeOrganization
Authorized ContactSUSAN M STEINBERG
Administrator
718-931-3000
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: NY  7000306N)
Additional Taxonomies385H00000X Respite Care
(Licence: NY  7000306N)
Enumeration Date2005-07-19
Last Update Date2015-07-08