| NPI | 1003057092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNES ABAN Administrator 718-826-1047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 11527) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2009-03-20 |