| NPI | 1356890289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN G ODONNELL Licensed Practical Nurse 718-300-9694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric (Licence: NY 271135-1) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |