| NPI | 1265020325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL VANZE CO Manager 518-882-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-05 |