| NPI | 1164875696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE TONDALAYA CLACK President/Administrator 215-874-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: PA 30513601) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2019-10-15 |