| NPI | 1063627545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBROAH MINASSIAN President 973-279-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NJ Z0SFLR) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |