| NPI | 1477505428 |
|---|---|
| Other Name | PLEASANT VALLEY ADULT HOME |
| Entity Type | Organization |
| Authorized Contact | BROOKE DALEY Administrator 518-638-8274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NY 760-N-001) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2014-08-21 |