| NPI | 1265439186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY LATSHAW Assistant Administrator 607-565-6228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NY 720-S-001) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-08-22 |