| NPI | 1962088773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JAKOBOWITCH Manager Of Managing Entity 917-922-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2021-03-22 |