Organization
493 BLACK OAK RIDGE ROAD, LLC
Active
Parent organization
493 BLACK OAK RIDGE ROAD, LLC
Other names
Care One at Wayne Assisted Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
493 BLACK OAK RIDGE ROAD, LLC
Authorized official
ANDROSKY ALBERTO LUGO ESQ (EXECUTIVE VICE PRESIDENT & G.C.)
(201) 242-4006
Entity
Organization
Contact information
Practice address
493 BLACK OAK RIDGE RD, WAYNE, NJ 07470-6501
(973) 692-9500
Mailing address
493 BLACK OAK RIDGE RD, WAYNE, NJ 07470-6501
(973) 692-9500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
VQXWIZ
NJ
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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