| NPI | 1376943761 |
|---|---|
| Doing Business As | QUEENS BLVD EXT CARE |
| Entity Type | Organization |
| Authorized Contact | JOSEPH MALONE CFO 718-205-0298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: NY 703410N) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2021-12-15 |