NPI 1235273905

Second Home, LLC

Organisation Nursing Facility/Intermediate Care Facility Paterson, NJ

Practice location

Address: 100 Hamilton Plz, Paterson, NJ 07505-2109
Phone: (973) 278-7065
Fax: (973) 278-4773

Authorised official

Name: David M Myers
Title: Medical Director
Phone: (973) 278-7065

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 708112 (NJ)

Other Nursing Facility/Intermediate Care Facility providers in New Jersey →

Registry record

NPI: 1235273905
Entity type: Organization
NPI issued: 16 Feb 2007
Record last updated: 22 Aug 2020

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.