| NPI | 1578550042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAL G PAYNE Administrator 518-251-4712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 5655302N) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2015-06-16 |