| NPI | 1205158102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A WIND Consultant Pharmacist 315-264-0041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY NY 039675-1) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: NY NY 039675-1) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |