| NPI | 1538700158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK STEG Licensed Entity Contact 718-916-7949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-10-04 |