| NPI | 1447014535 |
|---|---|
| Doing Business As | CENTERVILLE PLACE ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | RAFAEL MOERMAN President 516-865-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-08 |