| NPI | 1093249021 |
|---|---|
| Doing Business As | BLACKHAWK ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | ANN B HARRINGTON General Counsel And Secretary 212-547-2659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |