| NPI | 1013500776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WILLIAM CHENG President 646-373-8493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2021-02-14 |
| Last Update Date | 2021-03-03 |