| NPI | 1700884392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS COFFEY Administrator 518-869-2231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 0153303N) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2020-08-22 |