| NPI | 1982326054 |
|---|---|
| Doing Business As | LOGAN SQUARE ENHANCED SENIOR LIVING |
| Entity Type | Organization |
| Authorized Contact | MINDEE POSEN Medicare Administration Officer 845-825-2217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-09-15 |