Beacon of Life North Nj LLC

NPI #1063244630 in E Brunswick, New Jersey

Provider Information

NPI Number: 1063244630
Entity Type: Organization
Organization Name: Beacon of Life North Nj LLC
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: Aug 14, 2024
Last Updated: Apr 10, 2025

Practice Location

Address: 25 KENNEDY BLVD
City: E Brunswick
State: New Jersey
ZIP Code: 08816-1259
Phone: (732) 806-3205

Authorized Official

Name: MICHAEL CZERMAK
Title: CHIEF ADMINISTRATIVE OFFICER
Phone: (855) 801-2653

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary

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