| NPI | 1194893719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE C BUTLER Administrator 631-878-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY 5151313N) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-01-28 |