| NPI | 1104210285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYUDMYLA KOSYAK President 732-789-4624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2024-04-26 |