| NPI | 1982428223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEINA MACKEY CEO 570-902-4113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |