| NPI | 1609118694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH C HUTCHINSON Owner 516-678-0728 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NY 400Q268) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |