| NPI | 1205378130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH LICHTNEGER CFO 631-878-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-12-09 |