| NPI | 1285815308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERTRUDE DELORES NELSON Owner 845-426-2601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric (Licence: NY 352891-1) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2008-02-08 |