| NPI | 1871107961 |
|---|---|
| Doing Business As | SUMMIT'S TRACE HEALTHCARE CENTER |
| Entity Type | Organization |
| Authorized Contact | SAMUEL GOLDNER Authorized Official 732-645-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |