NPI | 1811390008 |
---|---|
Entity Type | Organization |
Authorized Contact | LIDIYA LESHCHINSKY President 718-730-3008 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2014-10-01 |
Last Update Date | 2014-10-01 |