| NPI | 1790949030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA LYN ROLL Owner/Operator 724-952-1013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: PA 437181) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |