Organization
SHP V MIDDLETOWN LLC
Active
Other names
Arbor Terrace Middletown
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY ROBESON (AUTHORIZED DESIGNEE)
(973) 734-1345
Entity
Organization
Contact information
Practice address
1800 STATE ROUTE 35, MIDDLETOWN, NJ 07748-6400
(732) 571-4814
Mailing address
7 GIRALDA FARMS, C/ O PGIM REAL ESTATE, MADISON, NJ 07940
(973) 734-1345
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13A303
ASSISTED LIVING RESIDENCE
NJ
Enumeration date
11/27/2018
Last updated
01/15/2019
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