| NPI | 1467324269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKEEM IDRIS CEO 929-250-9565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-09-22 |