| NPI | 1922806009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDEE POSEN Medicare Administration Officer 845-825-2217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-09-25 |