| NPI | 1760802995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE PECKMAN Managing Member 516-297-6490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 970102) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |