Organization
CA FANWOOD LLC
Active
Other names
The Chelsea at Fanwood
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA B SCHAFFER (CFO)
(908) 522-0808
Entity
Organization
Contact information
Practice address
295 SOUTH AVE, FANWOOD, NJ 07023-1357
(908) 654-5200
(908) 789-0451
Mailing address
33 UNION PL, 2ND FLOOR, SUMMIT, NJ 07901-3650
(908) 522-0808
(908) 522-5565
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
90A000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7891903
—
NJ
Enumeration date
03/26/2007
Last updated
08/22/2020
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