Organization
SL BELLA TERRA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MCDERMOTT (BUSINESS OFFICE MANAGER)
(732) 730-9500
Entity
Organization
Contact information
Practice address
2 KATHLEEN DR, JACKSON, NJ 08527-2269
(732) 730-9500
Mailing address
2 KATHLEEN DR, JACKSON, NJ 08527-2269
(732) 730-9500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
65A008
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086274
—
NJ
Enumeration date
06/27/2007
Last updated
10/10/2008
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