| NPI | 1114474160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHCHEL HOFFERT Administrator 718-263-4600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NY 7003375N) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2022-12-14 |