| NPI | 1881012177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA BERNARDEZ Owner 917-816-1932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: SC CRC0659) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |