PATRICIA ROGERS, LLC
Assisted Living, Behavioral Disturbances
Brick, New Jersey
Provider NPI: 1093891988
Organization Information:Organization Name: PATRICIA ROGERS, LLC
Practice Location:
42 ARBUTUS AVE BRICK, NJ 08723 US
Tel: 908-278-3688 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:
42 ARBUTUS AVE BRICK, NJ 08723 US
Tel: 908-278-3688 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3104A0630X | Nursing & Custodial Care Facilities Assisted Living Facility Assisted Living, Behavioral Disturbances | NJ | 26NJ00066900 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0070190 | NJ | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin