| NPI | 1417741398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE AMANDA DESOUZA President 201-637-1281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |