| NPI | 1740514165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYTANA MONIQE JOHNSON Registered Nurse 917-557-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NY 596963) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |