| NPI | 1922209923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET HERRON Manager 718-281-8799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |