| NPI | 1356788574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NY 3143201) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NY 31432001) |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NY 31443201) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |