| NPI | 1912206848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA DIONE POPWELL Lpn 347-267-4424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NY 304749-1) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |