SHP V MIDDLETOWN LLC
Assisted Living, Behavioral Disturbances
Middletown, New Jersey
Provider NPI: 1497225940
Organization Information:Organization Name: SHP V MIDDLETOWN LLC
Practice Location:
1800 STATE ROUTE 35 MIDDLETOWN, NJ 07748 US
Tel: 732-571-4814 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:
1800 STATE ROUTE 35 MIDDLETOWN, NJ 07748 US
Tel: 732-571-4814 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3104A0630X | Nursing & Custodial Care Facilities Assisted Living Facility Assisted Living, Behavioral Disturbances | ||
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ASSISTED LIVING RESIDENCE | 13A303 | NJ | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin