| NPI | 1801330840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELZANA SABOVIC Lpn 917-324-6558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| 315D00000X Hospice, Inpatient | |
| 385H00000X Respite Care | |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |