| NPI | 1659819951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERYLE LOHAN Finance Manager 631-724-2200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 5157313N) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-14 |