| NPI | 1275836256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE PERRINO Registered Nurse 631-245-5868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NY 599476) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |