| NPI | 1992928071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERIQUE ALTIDOR Manager 718-281-8688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NY 700330N) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2011-01-19 |