NPI | 1215666128 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHANIEL N WILLIAMS President 845-826-2947 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2022-06-07 |
Last Update Date | 2022-06-07 |