| NPI | 1841921459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOTOLANI OWOLABI Admin 814-722-1559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2022-07-07 |