Stafford Opco, LLC
NPI #1083360770 in Manahawkin, New Jersey
Provider Information
- NPI Number
- 1083360770
- Entity Type
- Organization
- Organization Name
- Stafford Opco, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Feb 22, 2022
- Last Updated
- Feb 22, 2022
Practice Location
- Address
- 1275 ROUTE 72 W
- City
- Manahawkin
- State
- New Jersey
- ZIP Code
- 08050-2473
- Phone
- (609) 597-2500
Authorized Official
- Name
- MR. LEO S JACQUES
- Title
- CONTROLLER
- Phone
- (781) 619-9327
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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|---|---|
| Summerville at Stafford, LLC | |
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