NPI | 1538286182 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULA BOYD Owner 609-220-1184 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NJ 158332) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2020-08-22 |