| NPI | 1780015883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYACINTH ELAINE JACKSON R.N. 917-204-0435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY 298390) |
| Enumeration Date | 2013-11-29 |
| Last Update Date | 2013-11-29 |