| NPI | 1114478948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA GOMEZ Administrator/Owner 917-582-2393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12405) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |