| NPI | 1861944167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABINE VALME Lpn 646-409-3817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NY 295679-1) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY 295679-1) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |