| NPI | 1710050554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORDECAI ZIDELE Controller 718-657-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 7003363n) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-08-18 |