| NPI | 1922004860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WAGNER President & CEO 718-491-7209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 7001372N) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2022-03-16 |