| NPI | 1730701343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARINA MARIE DIAMOND Owner 917-595-7569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2021-06-22 |