| NPI | 1134086762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUSHAUNA M SIMMS Owner 732-685-3536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2026-01-06 |
| Last Update Date | 2026-01-07 |