| NPI | 1134284771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIMMY IDELS Administrator 973-677-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NJ 308118) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |