Organization
SHP VI MOUNTAINSIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ROBESON (VP)
(404) 704-3789
Entity
Organization
Contact information
Practice address
1050 SPRINGFIELD AVE, MOUNTAINSIDE, NJ 07092-2905
(908) 760-0599
Mailing address
C/O PGIM REAL ESTATE, 7 GIRALDA FARMS, MADISON, NJ 01940
(404) 704-3789
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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