| NPI | 1205374030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSHE BRODT Owner More Than 5 Percent Interest 917-379-8074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |