NPI | 1811291024 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEENANNE EVANS Administrator 585-468-5570 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NY 271796) |
Enumeration Date | 2011-01-03 |
Last Update Date | 2011-01-03 |