NPI | 1942710371 |
---|---|
Former Legal Business Name | PRESTIGIOUS CARE LLC |
Entity Type | Organization |
Authorized Contact | KAMEESHIA GILMORE Owner 631-603-1826 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2017-10-12 |
Last Update Date | 2017-10-12 |