| NPI | 1487984126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL PORTORREAL Administrator 610-618-0557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2009-12-31 |