| NPI | 1730575705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAHLIA COLE Owner/Administrator 917-674-2052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12619) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-04-07 |