| NPI | 1871631689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI TAMBASCO Administrator 518-384-3622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 4651300N) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2018-03-16 |