| NPI | 1285026393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD I MALIK Member 516-710-0148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX P0994) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |