| 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 |