| NPI | 1538604764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L. JUDITH FERMIN-OSTRIN Administrator 516-524-6624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 10049) |
| Enumeration Date | 2016-12-26 |
| Last Update Date | 2016-12-26 |