| NPI | 1407842255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE SORENSEN Vice President And Administrator 718-240-5188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 7001318N) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2019-07-24 |