NPI | 1427488667 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM KENNETH NEWCOMER Owner 570-322-4465 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: PA 18853601) |
Enumeration Date | 2013-11-26 |
Last Update Date | 2013-11-26 |