| NPI | 1669942736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREEN MENDELERO Director Of Finance 267-969-6202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 174200000X |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2050X Respite Care, Respite Care Camp | |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-12-23 |