| NPI | 1033593488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE L BEATON-FUNG Nutritionist 917-750-4929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NY 004244-1) |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 004244-1) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |