| NPI | 1114511615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENSON KAHIU Co Owner 973-462-7288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 251J00000X Nursing Care |
| 332900000X Non-Pharmacy Dispensing Site | |
| 163W00000X Registered Nurse | |
| 174200000X Meals | |
| 376K00000X Nurse's Aide | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 177F00000X Lodging | |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2025-11-15 |