| NPI | 1114253622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZEVI KOHN CFO 917-370-9063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |