| NPI | 1265519664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEVILLE RICHARDS Administrator 718-266-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 7001312N) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |