| NPI | 1619047750 |
|---|---|
| Other Name | EDEN PARK NH UTICA |
| Entity Type | Organization |
| Authorized Contact | ROBERT GLOCK President 518-436-4731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 3202311N) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-04-29 |