| NPI | 1265130421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALOM STEIN Authorized Signer 732-313-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2023-02-17 |