| NPI | 1427737584 |
|---|---|
| Doing Business As | PRIME LUXURY HAVEN |
| Entity Type | Organization |
| Authorized Contact | AKIN OBISESAN Director 718-925-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 310400000X Assisted Living Facility | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 311Z00000X Custodial Care Facility | |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |