NPI 1619362563
493 Black Oak Ridge Road, LLC
Practice location
- Address
- 493 Black Oak Ridge Rd, Wayne, NJ 07470-6501
- Phone
- (973) 692-9500
Authorised official
- Name
- Androsky Alberto Lugo
- Title
- Executive Vice President & G.C.
- Phone
- (201) 242-4006
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1619362563
- Entity type
- Organization
- NPI issued
- 30 Mar 2015
- Record last updated
- 30 Mar 2015
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.