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Organization

PINEWOODS ASSISTED LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PHYLLIS A DEYO (DIRECTOR LTC ACCOUNTS)
(732) 206-8003
Entity
Organization

Contact information

Practice address
100 MERIDIAN PL, HOWELL, NJ 07731-4003
(732) 719-0100
Mailing address
100 MERIDIAN PL, HOWELL, NJ 07731-4003
(732) 719-0100

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
C9LQB9
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8575207
NJ
Enumeration date
02/07/2007
Last updated
08/22/2020
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