| NPI | 1396170353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA FERDINAND Registered Nurse 347-249-0186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NY 583607) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |