NPI | 1225773211 |
---|---|
Doing Business As | MONTCLAIR MANOR |
Entity Type | Organization |
Authorized Contact | MARIAH WOOLRIDGE Manager 973-615-8042 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2022-05-03 |
Last Update Date | 2022-05-05 |