| NPI | 1376392878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDEE POSEN Medicare Administration Officer 845-825-2217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-10-30 |