| NPI | 1548689508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE CARILLE SAINTVIL Lpn 347-500-8597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NY 317576-1) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |