| NPI | 1386471100 |
|---|---|
| Former Legal Business Name | DEER CREEK LODGE |
| Entity Type | Organization |
| Authorized Contact | ZACK ROSENBERG CEO 732-335-6951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |