NPI | 1295112258 |
---|---|
Doing Business As | SOUTHERN OAKS CARE CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL BLEICH Authorized Representative 845-641-8314 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF1556096) |
Enumeration Date | 2015-04-29 |
Last Update Date | 2015-04-29 |