| NPI | 1447702840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE ANN JENKS Lpn 518-621-6626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: NY 324373-1) |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NY 324373-1) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |