| NPI | 1588650873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA LEES Mds Specialist Finance 315-469-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 3301327N) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2008-01-22 |