| NPI | 1215270509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY ARANA Managed Care COO Rdinator 347-398-2117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |