| NPI | 1003776600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MILLER MILLER Revenue Cycle Manager 201-388-4784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-11-15 |
| Last Update Date | 2025-11-15 |