| NPI | 1447971155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLYANN SUE President 347-258-0686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 344600000X Taxi |
| 347C00000X Private Vehicle | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| 376G00000X Nursing Home Administrator | |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2022-09-09 |