| NPI | 1881148484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDEE POSEN Medicare Administration Officer 732-903-1958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: RI LTC00786) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2024-04-04 |