Organization
ACTORS FUND OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORDAN STROHL LNHA (ADMINISTRATOR)
(201) 871-8882
Entity
Organization
Contact information
Practice address
155 175 W HUDSON AVENUE, ENGLEWOOD, NJ 07631-1609
(201) 871-8882
(201) 871-9511
Mailing address
155 175 W HUDSON AVENUE, ENGLEWOOD, NJ 07631
(201) 871-8882
(201) 871-9511
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4465202
—
NJ
01
—
4465211
MEDICAID CPCH
NJ
Enumeration date
10/26/2006
Last updated
05/29/2008
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