| NPI | 1104628122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZISHA MARGULIES Manager 718-942-3483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-03-27 |