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Organization

SZR WALL ASSISTED LIVING, LLC

Active
Other names
Sunrise Assisted Living of Wall
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TONY J. HARRIS (SENIOR REIMBURSEMENT MANAGER)
(703) 854-0830
Entity
Organization

Contact information

Practice address
2600 ALLAIRE RD, WALL TOWNSHIP, NJ 07719-9568
(732) 282-1700
Mailing address
2600 ALLAIRE RD, WALL TOWNSHIP, NJ 07719-9568
(732) 282-1700

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
55A008
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9056904
NJ
Enumeration date
01/23/2007
Last updated
12/17/2024
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