| NPI | 1992081558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGE DYMERETS Manager 718-421-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: NY 1176L007) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |