| NPI | 1275790818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO WEINHEIMER Nurse Practitioner 315-413-3606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 307106) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |