| NPI | 1962546648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M MYERS Medical Director 973-278-7065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NJ 408111) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |