| NPI | 1083785968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH P REID Chief Executive Officer 315-866-6964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2010-10-13 |