NPI | 1437551637 |
---|---|
Entity Type | Organization |
Authorized Contact | GAVIN STEWART Manager 516-505-4922 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY 304274-1) |
Enumeration Date | 2014-09-18 |
Last Update Date | 2014-09-18 |