Ca Fanwood LLC
NPI #1548387285 in Fanwood, New Jersey
Provider Information
- NPI Number
- 1548387285
- Entity Type
- Organization
- Organization Name
- Ca Fanwood LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 26, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 295 SOUTH AVE
- City
- Fanwood
- State
- New Jersey
- ZIP Code
- 07023-1357
- Phone
- (908) 654-5200
Authorized Official
- Name
- MS. DEENA B SCHAFFER
- Title
- CFO
- Phone
- (908) 522-0808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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