| NPI | 1366939647 |
|---|---|
| Doing Business As | COOPER CREEK CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BLEICH Authorized Representative 845-641-8314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2018-04-22 |
| Last Update Date | 2018-04-22 |