| NPI | 1073504411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET A. GANNON Administrator 609-465-1260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NJ 060501) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2020-08-22 |