| NPI | 1881233880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBA STEIN Manager 347-272-4167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |