| NPI | 1982482832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GRAJALES Compliance Officer 347-988-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-09-20 |