| NPI | 1962944306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHARLES PICCIRILLO Owner 973-876-4921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NJ HP0235200) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |