License number: 2562
License type: NONPROFIT CORPORATION
Administrator: N/A
Capacity:
Type of license:
Type of Services:
License Holder Lives on site:
Licensing Authority:
County:
NH_BEDS:
BCH_BEDS:
HCP_TYPE: Hospice
SNF_BEDS: 0
SNFNF_BEDS: 0
NF2_BEDS: 0