Van Dyk At Bald Eagle Commons, Llc

NPI 1154454023 - Assisted Living Facility - 310400000X

NPI Details
NPI 1154454023
Enumeration Date 03/13/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHARLES H CHARLES
Position CHIEF FINANCIAL OFFICER
Phone (201) 689-7979
Fax (973) 304-2046
Practice Location
197 CAHILL CROSS RD
WEST MILFORD NJ, 07480-1947, US
Phone (201) 689-7979
Fax (973) 304-2046
Business Location
644 GOFFLE RD
HAWTHORNE NJ, 07506-3452, US
Phone (201) 689-7979
Fax (973) 304-2046
Toxanomy
Taxonomy Code 310400000X
License State New Jersey
License Number 70A000
Remove 1154454023 NPI Number
 

According to our database, Van Dyk At Bald Eagle Commons, Llc NPI is 1154454023, taxonomy code is 310400000X and license number is 70A000, license state is located at New Jersey. Van Dyk At Bald Eagle Commons, Llc physically located at 197 Cahill Cross Rd, West Milford NJ, 07480-1947. NPI Number 1033115704 has the healthcare provider type.

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1154454023 NPI number is provided on an as is basis without warranty of any kind. 1154454023 is maintained by the National Plan & Provider Enumeration System. The contents of Van Dyk At Bald Eagle Commons, Llc are for informational purposes only.