| NPI | 1639839657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANGELLA D RAMSAY-PALACIOS CEO 862-321-2613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |