| NPI | 1235826215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK EVEGAN Regional Director Of Operations 862-235-5755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |