| NPI | 1194442822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KILMER Executive Director 607-749-2442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2022-10-24 |