| NPI | 1972926681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MALONE CFO 718-205-0287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 700341N) |
| Additional Taxonomies | 261QA0600X Clinic/Center Adult Day Care |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2021-12-15 |