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493 Black Oak Ridge Road, Llc
Assisted Living Facility in Wayne, New Jersey
NPI 1619362563

493 Black Oak Ridge Road, Llc is an Assisted Living Facility based in Wayne, NJ. 493 Black Oak Ridge Road, Llc practices in Wayne, NJ. The NPI Number for 493 Black Oak Ridge Road, Llc is 1619362563 and holds a License No. VQXWIZ (New Jersey).

The current practice location address for 493 Black Oak Ridge Road, Llc is 493 Black Oak Ridge Rd, Wayne, NJ and can be reached out via phone at 973-692-9500.

Location: 493 Black Oak Ridge Rd, Wayne, NJ, 07470-6501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619362563
Provider Name
493 Black Oak Ridge Road, Llc
Credential
Provider Entity Type
Organization
Address
493 Black Oak Ridge Rd, Wayne, NJ, 07470-6501
Phone Number
973-692-9500
Fax Number
Provider Enumeration Date
03/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
493 Black Oak Ridge Rd
City
Wayne
State
New Jersey
Zip
07470-6501
Phone Number
973-692-9500
Fax Number
person
Provider Business Mailing Address Details
Address
493 Black Oak Ridge Rd
City
Wayne
State
New Jersey
Zip
07470-6501
Phone Number
973-692-9500
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
VQXWIZ (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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