| NPI | 1184462954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCEL REGINIA CORNELIUS Owner 570-878-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 251J00000X Nursing Care | |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2025-09-12 |