| NPI | 1952617755 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | GUIRLENE M. DUBE Chief Operating Officer / Owner 516-717-4447 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NY 1774l) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NY 1774l) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |