| 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 |