Organization
RIVAARON, LLC
Active
Other names
YOUNG AT HEART OF EATONTOWN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY SIMONIAN CSW (DIRECTOR OF SOCIAL SERVICE)
(732) 578-1888
Entity
Organization
Contact information
Practice address
139 GRANT AVE, EATONTOWN, NJ 07724-1306
(732) 578-1888
(732) 578-1979
Mailing address
139 GRANT AVE, EATONTOWN, NJ 07724-1306
(732) 578-1888
(732) 578-1979
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
558110
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031658
—
NJ
Enumeration date
02/13/2007
Last updated
06/19/2008
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