Mira Vie at Fanwood Opco LLC
NPI #1952159865 in Fanwood, New Jersey
Provider Information
- NPI Number
- 1952159865
- Entity Type
- Organization
- Organization Name
- Mira Vie at Fanwood Opco LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 7, 2024
- Last Updated
- Aug 16, 2024
Practice Location
- Address
- 295 SOUTH AVE
- City
- Fanwood
- State
- New Jersey
- ZIP Code
- 07023-1357
- Phone
- (908) 654-5200
Authorized Official
- Name
- BILLIE ABREU
- Title
- DIRECTOR OF ADMIN
- Phone
- (813) 330-2660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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