| NPI | 1033399779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JHEANNELL ALEISHA REID Registered Nurse 845-454-6171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NY 560425-1) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-09 |