NPI | 1093981557 |
---|---|
Entity Type | Organization |
Authorized Contact | EDDIE SIMPSER CEO/President 718-281-8886 |
Organization Subpart ? | No |
Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2008-05-05 |
Last Update Date | 2018-12-13 |