| NPI | 1750632329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE LISETTE JEANTY Registered Nurse 516-284-7042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 648256) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NY 648256) |
| 273Y00000X Rehabilitation Unit (Licence: NY 648256) | |
| 314000000X Skilled Nursing Facility (Licence: NY 64825) | |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |