| NPI | 1780704056 |
|---|---|
| Doing Business As | AGC HEALTH CUSTODIAN CARE |
| Entity Type | Organization |
| Authorized Contact | ROBERT MCGOWAN Director 973-928-3428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NJ 35SI00033100) |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NJ 35SI00033100) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |