| NPI | 1477923654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE-MARTHE JOSEPH President 772-800-7620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2017-08-15 |