| NPI | 1215721063 |
|---|---|
| Doing Business As | GARDEN STATE HOME |
| Entity Type | Organization |
| Authorized Contact | LOUIS DELUCIA Executive Director 732-532-6865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-10 |