| NPI | 1336681824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORMICA LABOSSIERE Lpn 516-902-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric (Licence: OH PN122117MEDS) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |