Organization
WINDSOR GARDENS ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHIMMY IDELS L.N.H.A. (ADMINISTRATOR)
(973) 677-0111
Entity
Organization
Contact information
Practice address
140 PARK AVE, EAST ORANGE, NJ 07017-5248
(973) 677-0111
(973) 677-0096
Mailing address
140 PARK AVE, EAST ORANGE, NJ 07017-5248
(973) 677-0111
(973) 677-0096
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
308118
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076171
—
NJ
Enumeration date
12/26/2006
Last updated
08/22/2020
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