| NPI | 1891121992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENELYN GERONIMO ACACIO Physical Therapist 347-595-0692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NM 4042) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |