| NPI | 1366951089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA DIANN MCCLELLAN Director/Owner 814-201-2219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: PA 34893601) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: PA 34893601) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2017-09-26 |