| NPI | 1518167329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA LYNN STEVENSON Controller 518-843-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NY 9502L001) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2008-06-17 |