NPI | 1427488063 |
---|---|
Entity Type | Organization |
Authorized Contact | IBRAHIM A MUMUNI Licensed Pratical Nurse 347-301-1428 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 316172) |
Enumeration Date | 2013-11-18 |
Last Update Date | 2013-11-18 |