| NPI | 1912276882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE MIRKHANI LLC Member 201-232-3905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NJ 060714) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2012-06-20 |