| NPI | 1780130591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA V RANIERI RN 518-755-2812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NY 457210-1) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |