# NEW JERSEY VETERANS MEMORIAL HOME MENLO PARK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194715409
- **Authorized official:** MS. JENNIFER CAUSER LNHA, CMDCP (CEO)
- **Authorized official phone:** (732) 452-4102

## Contact information

- **Practice address:** 132 EVERGREEN RD, EDISON, NJ 08837-2484
- **Practice address phone:** (732) 452-4167
- **Practice address fax:** (732) 603-3016
- **Mailing address:** 132 EVERGREEN RD, EDISON, NJ 08837-2484
- **Mailing address phone:** (732) 452-4167
- **Mailing address fax:** (732) 603-3016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 10/27/2005
- **Last updated:** 08/24/2022
