| NPI | 1689913196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FLEESE President/Owner 570-702-8104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: PA 226650) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-04 |