| NPI | 1164192316 |
|---|---|
| Doing Business As | BANANA RIVER PARADISE VILLAS |
| Entity Type | Organization |
| Authorized Contact | MOSTAFA S HASSAN President 914-373-8098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-09-19 |
| Last Update Date | 2021-09-19 |