| NPI | 1669729000 |
|---|---|
| Other Name | BERKSHIRE NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | NOEMIE ULYSSE Lpn 631-920-2964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NY 2927851) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |