| NPI | 1689875809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANGALA PUTTANIAH Medical Director 607-770-0348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY 006396-1) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-06-20 |