| NPI | 1225911910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMAL ADOW Manager 917-741-9452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2025-07-29 |