| NPI | 1871235150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE LEE SHERRY-KEATING Administrator 518-483-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |