Van Dyk at Bald Eagle Commons, LLC
NPI #1154454023 in West Milford, New Jersey
Provider Information
- NPI Number
- 1154454023
- Entity Type
- Organization
- Organization Name
- Van Dyk at Bald Eagle Commons, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 13, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 197 CAHILL CROSS RD
- City
- West Milford
- State
- New Jersey
- ZIP Code
- 07480-1947
- Phone
- (201) 689-7979
Authorized Official
- Name
- MR. CHARLES H SHOTMEYER
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (201) 689-7979
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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