| NPI | 1861204307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL BAK Managing Parner 908-783-3110 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-22 |