NPI | 1598761728 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA ENGLISH Administrator 315-253-7346 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 0566301N) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2020-08-22 |