| NPI | 1467051508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO RAMOS Group Home Manager 609-462-9952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |