| NPI | 1609863232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIE JENNIE JOHNSON Director Of Resident Care 518-758-6222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 1023301N) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2008-04-20 |