| NPI | 1609128487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY P TELFORT RN 347-267-2991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |