Organization Name: | FIRST HEALTHCARE ASBURY PARK LLC |
NPI Number: | 1699806109 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YAAKOV FRIEDMAN (MANAGING MEMBER) |
Mailing Address: | 600 Main St Asbury Park |
State: | NJ US |
Postal Code: | 077126518 |
Phone Number: | 7328699090 |
Fax Number: | 7329882803 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 06/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 558100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |