| NPI | 1104667278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMAECHI JUDE ODAFI Administrator 215-882-1898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-04 |