NPI | 1861495202 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH ANN FLACK Administrator 516-374-9300 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 2950315N) |
Additional Taxonomies | 376G00000X Nursing Home Administrator |
Enumeration Date | 2005-05-31 |
Last Update Date | 2018-04-06 |