| NPI | 1871779215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB KARMEL Authorized Official 516-209-2287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies | |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-04-02 |