NPI | 1063400794 |
---|---|
Entity Type | Organization |
Authorized Contact | WAYNE F BLUM Administrator 908-722-7022 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NJ 061811) |
Enumeration Date | 2005-10-06 |
Last Update Date | 2012-04-26 |