| NPI | 1548655491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JACOB KASPERITIS Physical Therapist Assistant 267-683-8407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA TE010133) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |