| NPI | 1790112134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN OGREN Administrator 856-308-2163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NJ 04A015) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |