| NPI | 1538826482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAY PATEL Director 732-331-6544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| Enumeration Date | 2021-11-25 |
| Last Update Date | 2024-04-18 |