| NPI | 1275849341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW VARGHESE Executive Director 518-374-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 4152302N) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |