Organization Name: | KESWICK PINES INC |
NPI Number: | 1104992528 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGINA BAVAIS (CFO) |
Mailing Address: | 509 Route 530 Whiting |
State: | NJ US |
Postal Code: | 087593145 |
Phone Number: | 7328490400 |
Fax Number: | 7323500540 |
NPI Enumeration Date: | 11/28/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 65A001 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NJ |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy 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. |