| NPI | 1487814430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ASSAD Owner 724-583-0620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: PA 438900) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |