| NPI | 1447475587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ROMANO Credentialing Supervisor 800-879-4471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NJ 26NE01153600) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |