NPI | 1801230206 |
---|---|
Doing Business As | LAKE MORTON PLAZA |
Entity Type | Organization |
Authorized Contact | JANE RYU President/CEO/CFO 212-479-5270 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL 5308) |
Enumeration Date | 2013-04-29 |
Last Update Date | 2016-11-30 |