| NPI | 1275257586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASQUALE DEBENEDICTIS Member 516-422-7818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2022-09-29 |