| NPI | 1982159059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GAMZEH Managing Member 516-426-6961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 1750N) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |