NPI 1336283027
2nd Home Elizabeth LLC
Practice location
- Address
- 432 N Broad St, Elizabeth, NJ 07208-3365
- Phone
- (908) 436-0018
- Fax
- (973) 278-4773
- Mailing address
- 100 Hamilton Plz 3rd Floor, Paterson, NJ 07505-2109
Authorised official
- Name
- David Myers
- Title
- Medical Director
- Phone
- (973) 278-7065
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1336283027
- 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.