NPI | 1235593724 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN BLEIER Member 267-549-2532 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NJ 15A005) |
Enumeration Date | 2016-04-11 |
Last Update Date | 2017-04-24 |