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Ca Fanwood Llc
Assisted Living Facility in Fanwood, New Jersey
NPI 1548387285

Ca Fanwood Llc is an Assisted Living Facility based in Summit, NJ. Ca Fanwood Llc practices in Fanwood, NJ. The NPI Number for Ca Fanwood Llc is 1548387285 and holds a License No. 90A000 (New Jersey).

The current practice location address for Ca Fanwood Llc is 295 South Ave, Fanwood, NJ and can be reached out via phone at 908-654-5200 and via fax at 908-789-0451.

Location: 295 South Ave, Fanwood, NJ, 07901-3650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548387285
Provider Name
Ca Fanwood Llc
Credential
Provider Entity Type
Organization
Address
295 South Ave, Fanwood, NJ, 07901-3650
Phone Number
908-654-5200
Fax Number
908-789-0451
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7891903 05 NJ
institution
Provider Business Practice Location Address Details
Address
295 South Ave
City
Fanwood
State
New Jersey
Zip
07023-1357
Phone Number
908-654-5200
Fax Number
908-789-0451
person
Provider Business Mailing Address Details
Address
295 South Ave
City
Fanwood
State
New Jersey
Zip
07023-1357
Phone Number
908-654-5200
Fax Number
908-789-0451
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
90A000 (New Jersey)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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