| NPI | 1790516326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVERARDO GREENAWAY CFO 908-758-4983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 311Z00000X Custodial Care Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |