NPI | 1669658266 |
---|---|
Doing Business As | MOUNTAIN VALLEY MANOR |
Entity Type | Organization |
Authorized Contact | SALVATORE DEPOALA Owner 845-331-1254 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NY 740f780) |
Enumeration Date | 2008-01-14 |
Last Update Date | 2008-06-17 |