NPI | 1346840121 |
---|---|
Doing Business As | NEW HAVEN MANOR |
Entity Type | Organization |
Authorized Contact | JENNIFER GRAJALES Project Manager 347-988-4535 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2020-10-29 |
Last Update Date | 2020-10-29 |