| NPI | 1679010193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANA IGBINOSUN RN 857-312-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA RN2284309) |
| Enumeration Date | 2017-01-22 |
| Last Update Date | 2017-01-22 |