| NPI | 1063970614 |
|---|---|
| Doing Business As | MOUNT MORIAH ASSISTED LIVING HOME |
| Entity Type | Organization |
| Authorized Contact | AIKO MARIE GONZALES Designee 917-582-5991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-03-03 |
| Last Update Date | 2019-03-03 |