| NPI | 1497133094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELILAH DRAGON Lpn 856-577-3964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: NJ 26np05603800) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: NJ 26np05063800) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |