| NPI | 1609284058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA CLANCY Licensed Practical Nurse 585-512-9839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NY 296159) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2014-07-29 |