Whalio Doctors

NPI 1336283027

2nd Home Elizabeth LLC

Organisation Nursing Facility/Intermediate Care Facility Elizabeth, NJ

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
Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 908111 (NJ)

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.