| NPI | 1265963144 |
|---|---|
| Doing Business As | EAST LAKE ARBOR |
| Entity Type | Organization |
| Authorized Contact | VICTOR M MARCOS CFO 917-209-1431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-044-1435) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |