| NPI | 1518565944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GRAJALES Project Manager 347-988-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |