Organization Name: | MATHENY SCHOOL AND HOSPITAL |
NPI Number: | 1366490336 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN PROCTOR (PRESIDENT) |
Mailing Address: | 1467 Highland Avenue Peapack |
State: | NJ US |
Postal Code: | 07977 |
Phone Number: | 9082340011 |
Fax Number: | 9082349496 |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310500000X |
License Number: | 21801 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Intermediate Care Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |