| NPI | 1265177596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDEE POSEN Medicare Administration Officer 732-903-1958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2024-04-04 |