| NPI | 1720494313 |
|---|---|
| Doing Business As | AUTUMN LAKE HEALTHCARE AT ALICE MANOR |
| Entity Type | Organization |
| Authorized Contact | ARYEH STERN Member 732-358-6883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2015-06-09 |