| NPI | 1194237222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA IFFLAND VP Of Finance 567-455-0414 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |