| NPI | 1164760989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGATH SALOMON Owner 845-476-5386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NY 104780825) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |