| NPI | 1568247161 |
|---|---|
| Other Name | 54TH SHORT TERM HOUSING |
| Entity Type | Organization |
| Authorized Contact | ROMAN ROZHANSKY President 855-669-1900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2025-07-28 |