2nd Home Perth Amboy LLC

NPI #1548304223 in Perth Amboy, New Jersey

Provider Information

NPI Number
1548304223
Entity Type
Organization
Organization Name
2nd Home Perth Amboy LLC
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Feb 16, 2007
Last Updated
Jun 13, 2008

Practice Location

Address
420 FAYETTE ST
ZIP Code
08861-3835
Phone
(732) 826-1961

Authorized Official

Name
DAVID M MYERS, M.D.
Title
MEDICAL DIRECTOR
Phone
(973) 278-7065

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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