| NPI | 1992805162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE ELLEN MORGAN Owner 941-549-0221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW17337) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NJ 44SC05549000) |
| 311500000X Alzheimer Center (Dementia Center) (Licence: NJ 44SC05549000) | |
| 311Z00000X Custodial Care Facility (Licence: NJ 44S05549000) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NJ 44SC05549000) | |
| 314000000X Skilled Nursing Facility (Licence: NJ 44SC05549000) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-04-07 |