| NPI | 1982053930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE MARZITELLI Area Clinical Practice Manager Ma S 201-803-6583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: PA SP015869) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |