NPI | 1760543367 |
---|---|
Doing Business As | IVY HALL GERIATRIC CENTER |
Entity Type | Organization |
Authorized Contact | ROBERT V GIBBS President 732-708-1946 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 03-019) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2020-08-22 |