| NPI | 1730415670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN STERN Authorized Member 732-942-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 131702) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2013-11-08 |