| NPI | 1285926170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELLA CASIMIR Lpn 718-415-4701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY 283647-1) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2011-05-10 |