NPI | 1366968034 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNIE KAMAU Owner 201-932-9285 |
Organization Subpart ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60416090) |
Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home |
Enumeration Date | 2017-08-15 |
Last Update Date | 2022-07-21 |