| NPI | 1043648728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARDA SUKHU-GAFOOR Administrator 646-610-9621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 12424) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |