| NPI | 1194718726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY WOJCIECHOWSKI Administrator 315-435-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 3301312N) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2007-09-19 |