| NPI | 1164241386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL LEONIDAS GONZALEZ ABREU Administrator 201-668-9339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2024-10-04 |