| NPI | 1609998681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH E GAUL Sole Member 631-473-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NY 700-F-905) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |