| NPI | 1992845150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS A DEYO Director Ltc Accounts 732-206-8003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NJ 90A120) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |