REFORMED CHURCH MINISTRIES TO THE AGING, THE PARTICULAR SYNOD OF THE M
Assisted Living Facility
Old Bridge, New Jersey
Provider NPI: 1780688226
Organization Information:Organization Name: REFORMED CHURCH MINISTRIES TO THE AGING, THE PARTICULAR SYNOD OF THE M
Practice Location:
1990 ROUTE 18 OLD BRIDGE, NJ 08857 US
Tel: 732-607-9230 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1990 ROUTE 18 OLD BRIDGE, NJ 08857 US
Tel: 732-607-9230 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | NJ | 50A002 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | NJ | 030709 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
4477502 | NJ | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin