| NPI | 1073094439 |
|---|---|
| Doing Business As | MOUNT ZION ASSISTED LIVING HOME |
| Entity Type | Organization |
| Authorized Contact | AIKO MARIE OBAH GONZALES Member 917-582-5991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AK 101273) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |