| NPI | 1023871878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA BIRT Owner 718-581-7133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |