NPI | 1023363686 |
---|---|
Entity Type | Organization |
Authorized Contact | DUSTIN COREY MILLER Owner/Administrator 814-652-2834 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: PA 324070) |
Enumeration Date | 2012-07-19 |
Last Update Date | 2012-07-19 |