| NPI | 1992505135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YITZCHOK SHAPIRO Authorized Official 732-501-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-03-17 |