| NPI | 1770540171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT LEE GOLDBERG Administrator 856-346-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NJ 060416) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2020-08-22 |