| NPI | 1427539592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL FEIN Manager 516-991-5228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2020-12-15 |