| NPI | 1417952417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRI ANN SCULLIN-SENK Administrator 718-289-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 7004305N) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2014-07-22 |