| NPI | 1437440518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY B KUPSTAS Cota/L 570-690-0623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: PA op006778) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-27 |