| NPI | 1053726083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL WAYNE CHALMERS Occupational Therapy Assistant 845-820-1953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NJ 46TA09094700) |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2014-06-28 |