| NPI | 1740731207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM STERN CFO 718-567-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC NH0513) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |