| NPI | 1144223074 |
|---|---|
| Doing Business As | MEDWAY COUNTRY MANOR SKILLED NURSING & REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | DAVID SIMHA President 917-885-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0840) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 0840) |
| 225X00000X Occupational Therapist (Licence: MA 0840) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MA 0840) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2014-07-30 |