Organization
THE VILLA AT FLORHAM PARK INC.
Active
Parent organization
THE VILLA AT FLORHAM PARK INC.
Other names
The Villa at Florham Park, Inc. CPC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE VILLA AT FLORHAM PARK INC.
Authorized official
JENNIFER CRIPPS (CFO)
(609) 699-4131
Entity
Organization
Contact information
Practice address
190 PARK AVE, FLORHAM PARK, NJ 07932-1049
(973) 867-1514
Mailing address
3 MANHATTAN DR, BURLINGTON, NJ 08016-4119
(609) 386-7171
(609) 386-7191
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14C014
LICENSE
NJ
Enumeration date
12/20/2018
Last updated
12/20/2018
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