| NPI | 1073915351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA SCOTT President 718-948-0138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 302486) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |