| NPI | 1194996355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINICK WILLIAM COVILLE Administrator 724-583-9227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: PA 424710) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |