| NPI | 1225756166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM STERN CFO/Authorized Official 718-567-9459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2022-08-17 |