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Second Home Perth Amboy Llc
Adult Care Home Facility in Perth Amboy, New Jersey
NPI 1063627545

Second Home Perth Amboy Llc is an Adult Care Home Facility based in Paterson, NJ and is specialized in Adult Care Home. Second Home Perth Amboy Llc practices in Perth Amboy, NJ. The NPI Number for Second Home Perth Amboy Llc is 1063627545 and holds a License No. Z0SFLR (New Jersey).

The current practice location address for Second Home Perth Amboy Llc is 420 Fayette St, Perth Amboy, NJ and can be reached out via phone at 732-826-8012 and via fax at 732-826-1961.

Location: 420 Fayette St, Perth Amboy, NJ, 07505-2109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063627545
Provider Name
Second Home Perth Amboy Llc
Credential
Provider Entity Type
Organization
Address
420 Fayette St, Perth Amboy, NJ, 07505-2109
Phone Number
732-826-8012
Fax Number
732-826-1961
Provider Enumeration Date
05/10/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
7667043 05 NJ
institution
Provider Business Practice Location Address Details
Address
420 Fayette St
City
Perth Amboy
State
New Jersey
Zip
08861-3835
Phone Number
732-826-8012
Fax Number
732-826-1961
person
Provider Business Mailing Address Details
Address
420 Fayette St
City
Perth Amboy
State
New Jersey
Zip
08861-3835
Phone Number
732-826-8012
Fax Number
732-826-1961
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
Z0SFLR (New Jersey)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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