| NPI | 1295274785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD STOLL Managing Member 917-836-0436 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |