| NPI | 1952166829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE KING Administrator 347-515-4310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-19 |