Organization
TRC REALTY CORP
Active
Other names
Bayside Manor Assisted Living Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY JOSEPH CAPPADONA NJCALA (ADMINISTRATOR OWNER)
(732) 471-1600
Entity
Organization
Contact information
Practice address
7 LAUREL AVE, KEANSBURG, NJ 07734-1122
(732) 471-1600
(732) 471-1077
Mailing address
7 LAUREL AVE, KEANSBURG, NJ 07734-1122
(732) 471-1600
(732) 471-1077
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
90115
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7279001
—
NJ
Enumeration date
02/08/2007
Last updated
06/16/2008
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