| NPI | 1437694817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN DENISE CLEMENTS Lpn 585-410-0365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 258423) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2016-12-21 |