| NPI | 1205179538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA S HALL Lpn 631-569-9041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NY 3033951) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |