| NPI | 1659456911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN STROHL Administrator 201-871-8882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-05-29 |