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
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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