NPI | 1215399043 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSE R CAPUZ Lpn 917-743-0542 |
Organization Subpart ? | No |
Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NY 276507-1) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2016-03-22 |