| NPI | 1780941948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE ENIDE GESNER Lpn 585-406-2422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NY 307327) | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |