| NPI | 1225385016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANY ACOSTA Registered Nurse 718-644-5710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY 644541) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |