| NPI | 1275921421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS HENRY Lpn 914-888-4823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric (Licence: NY 316201-1) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |