| NPI | 1407499254 |
|---|---|
| Doing Business As | BOULEVARD TERRACE HEALTH AND REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | SAMUEL GOLDNER President 347-677-0448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-10-24 |