| NPI | 1174704282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA E ROBERTS Slp 516-650-5064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CA SP 16477) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2008-12-06 |