| NPI | 1881767085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE LOUISE BRODOCK Director Of Fiscal Services 315-339-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 3201307n) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2015-08-25 |