| NPI | 1174145957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE MCLEAN Administrator 908-590-5283 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 174200000X Meals | |
| 251J00000X Nursing Care | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |