| NPI | 1750377800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA M SANTMANN Administrator/Owner 631-581-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY 5154308N) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: NY 5154308N) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2008-07-17 |