| NPI | 1801860291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACY VARGHESE Administrator 718-655-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 7000360N) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2024-04-15 |