| NPI | 1154896694 |
|---|---|
| Doing Business As | AUTUMN LAKE HEALTHCARE AT BRIDGEPARK |
| Entity Type | Organization |
| Authorized Contact | SAM STERN CFO 718-567-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |