Organization
MERRY HEART TALLY HO LLC
Active
Other names
MERRY HEART OF BOONTON TWP.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA MONTILLA BONIFACIO R.N., L.N.H.A. (ADMINISTRATOR)
(973) 334-2454
Entity
Organization
Contact information
Practice address
199 POWERVILLE RD, BOONTON, NJ 07005-8840
(973) 334-2454
(973) 402-0719
Mailing address
199 POWERVILLE RD, BOONTON, NJ 07005-8840
(973) 334-2454
(973) 402-0719
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061415
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074063
—
NJ
Enumeration date
10/17/2006
Last updated
08/22/2020
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