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Organization

TC CSL FAIR LAWN SENIOR LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JAMIE BUSTOS CALA (EXECUTIVE DIRECTOR)
(201) 794-4777
Entity
Organization

Contact information

Practice address
15-00 RIVER ROAD, FAIR LAWN, NJ 07410
(201) 794-4777
Mailing address
15-00 RIVER ROAD, FAIR LAWN, NJ 07410
(201) 794-4777
(201) 781-1770

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
10/19/2023
Last updated
01/03/2024
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