| NPI | 1659779221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA ERRICKSON Owner 908-391-2548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NJ 25MA066807000) |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2015-02-13 |