| NPI | 1629572508 |
|---|---|
| Doing Business As | CHERRY LANE NURSING AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | SAM STERN CFO 877-567-0402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2019-01-08 |