| NPI | 1154073351 |
|---|---|
| Doing Business As | POLARIS HEALTH & WELLNESS OF RAYMORE |
| Entity Type | Organization |
| Authorized Contact | SAMUEL GOLDNER Authorized Person 516-727-1634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-09-16 |