| NPI | 1275149619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRVA MELLISA PIERRE Registered Nurse 347-453-9477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251J00000X Nursing Care |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |