Second Home Perth Amboy LLC
NPI #1063627545 in Perth Amboy, New Jersey
Provider Information
- NPI Number
- 1063627545
- Entity Type
- Organization
- Organization Name
- Second Home Perth Amboy LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- May 10, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 420 FAYETTE ST
- City
- Perth Amboy
- State
- New Jersey
- ZIP Code
- 08861-3835
- Phone
- (732) 826-8012
Authorized Official
- Name
- MRS. DEBROAH MINASSIAN
- Title
- PRESIDENT
- Phone
- (973) 279-2323
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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