| NPI | 1699180786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD F MORGANELLI Executive Director/Owner 339-788-9635 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2015-02-26 |