| NPI | 1972821130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HERNANDEZ Lpn 484-222-1847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY 283710-1) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |