The Residence At Lake Ridge Llc

NPI 1073694295 - Assisted Living Facility - 310400000X

NPI Details
NPI 1073694295
Enumeration Date 10/17/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KRISTIN A KRISTIN
Position EXECUTIVE DIRECTOR
Phone (732) 905-9222
Fax (732) 905-9442
Practice Location
2145 WHITESVILLE ROAD
TOMS RIVER NJ, 08755, US
Phone (732) 905-9222
Fax (732) 905-9442
Business Location
2145 WHITESVILLE ROAD
TOMS RIVER NJ, 08755, US
Phone (732) 905-9222
Fax (732) 905-9442
Toxanomy
Taxonomy Code 310400000X
License State New Jersey
License Number 65A113
Remove 1073694295 NPI Number
 

According to our database, The Residence At Lake Ridge Llc NPI is 1073694295, taxonomy code is 310400000X and license number is 65A113, license state is located at New Jersey. The Residence At Lake Ridge Llc physically located at 2145 Whitesville Road, Toms River NJ, 08755. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1073694295 NPI number is provided on an as is basis without warranty of any kind. 1073694295 is maintained by the National Plan & Provider Enumeration System. The contents of The Residence At Lake Ridge Llc are for informational purposes only.