| NPI | 1982015673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANG JIAN CHEN Owner 917-282-7683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY F333761) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |