| NPI | 1295165744 |
|---|---|
| Other Name | NURSE321 |
| Entity Type | Organization |
| Authorized Contact | ELLEN DENISE CARRION Owner 585-729-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NY 274830) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2013-11-20 |