| NPI | 1942657523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEWALE OSINUGA Administrator 646-633-6375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NY 2421L) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2024-03-13 |