| NPI | 1184889818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER S REQUEJO Controller 973-777-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NJ 16A001) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |