| NPI | 1174936785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE U AKABUOGU Lpn 017-500-5325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: NY 318578-1) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |