| NPI | 1689003782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE FERNANDES ROMNEY Owner 877-686-0868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 315459) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |