Organization Name: | SENIOR CARE CENTERS OF AMERICA, INC. |
NPI Number: | 1144358870 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRAIG O MEHNERT (CFO) |
Mailing Address: | 76 W Jimmie Leeds Rd West Park Center, Suite 505 Galloway |
State: | NJ US |
Postal Code: | 082059411 |
Phone Number: | 6096523600 |
Fax Number: | 6096527002 |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | 018100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |