| NPI | 1740010834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALOM STEIN Authorized Official 732-313-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |