| NPI | 1831180116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKIVA GLATZER Managing Member 516-505-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: VT 0270000189) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2017-03-08 |