NPI | 1013214980 |
---|---|
Entity Type | Organization |
Authorized Contact | ALANA D SACCARO Lpn/Owner 631-741-0825 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NY 302795-1) |
Enumeration Date | 2011-02-11 |
Last Update Date | 2011-02-11 |