| NPI | 1477875508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARETTE CHARLES PROPHILE Nurse 347-455-7205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY 285101-1) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |