| NPI | 1093267718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHADAI DEOKI Manager 718-262-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 9220L001) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NY 9220L001) |
| 310500000X Intermediate Care Facility, Mental Illness (Licence: NY 9220L001) | |
| 311Z00000X Custodial Care Facility (Licence: NY 9220L001) | |
| 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NY 9220L001) | |
| 314000000X Skilled Nursing Facility (Licence: NY 9220L001) | |
| 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric (Licence: NY 9220L001) | |
| 315D00000X Hospice, Inpatient (Licence: NY 9220L001) | |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |