| NPI | 1417798414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE NEWELL Owner 908-229-1106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251300000X Local Education Agency (LEA) | |
| 251F00000X Home Infusion | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 261QH0700X Clinic/Center Hearing and Speech | |
| 310400000X Assisted Living Facility | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-07 |