Organization
MERRY HEART ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BLANQUITA MONTILLA BONIFACIO R.N., LNHA (C.E.O.)
(973) 584-4000
Entity
Organization
Contact information
Practice address
118 MAIN ST, SUCCASUNNA, NJ 07876-1316
(973) 584-4000
(973) 584-2717
Mailing address
118 MAIN ST, SUCCASUNNA, NJ 07876-1316
(973) 584-4000
(973) 584-2717
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
14A002
NJ
Other
Enumeration date
03/18/2011
Last updated
03/18/2011
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