| NPI | 1720249493 |
|---|---|
| Other Name | MELNICKE MICHAEL SINGLE OWNER C/O ROBERT SCHUCK |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MELNICKE Owner/Administrator 718-471-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2018-12-13 |