| NPI | 1366436339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA E JOHNSON Corp. VP Of Finance CFO 315-492-5731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2008-06-05 |