| NPI | 1538330378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKITTA TANAE HOLMES Licensed Practical Nurse 845-452-5272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |