Organization Name: | PAVILIONS AT FORRESTAL |
NPI Number: | 1023364502 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROL CAVANAGH (C.F.O.) |
Mailing Address: | 5000 Windrow Dr Princeton |
State: | NJ US |
Postal Code: | 085405003 |
Phone Number: | 6099871221 |
Fax Number: | 6099870619 |
NPI Enumeration Date: | 08/02/2012 |
NPI Last Update Date: | 08/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | 62202 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |