| NPI | 1780014886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA VIDER Administrator 718-996-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NY 3011L001) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |