NPI 1184029589

Jlgandsons

Organisation Custodial Care Facility Jersey City, NJ

Practice location

Address: 291 Virginia Ave, Jersey City, NJ 07304-1420
Phone: (201) 655-4478

Authorised official

Name: Aura S Guerrero
Title: Director
Phone: (201) 655-4478

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 5984841 (NY)

Other Custodial Care Facility providers in New Jersey →

Registry record

NPI: 1184029589
Entity type: Organization
NPI issued: 28 Oct 2014
Record last updated: 28 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.