NPI | 1144215203 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANNE LEE President 718-630-6125 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 03A0558) |
Enumeration Date | 2005-09-14 |
Last Update Date | 2015-07-21 |