| NPI | 1265149652 |
|---|---|
| Other Name | SKILLED NURSING FACILITY |
| Entity Type | Organization |
| Authorized Contact | AVROHOM JOSH BROWN Manager 845-642-9186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-11-23 |