| NPI | 1174857676 |
|---|---|
| Doing Business As | WEDGEWOOD NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | ZEVI KOHN C Fo 718-412-3522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-10-21 |