Organization
COLTS NECK VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS A DEYO (DIRECTOR LTC ACCOUNTS)
(732) 206-8003
Entity
Organization
Contact information
Practice address
3 MERIDIAN WAY, COLTS NECK, NJ 07722-2419
(732) 303-3100
Mailing address
3 MERIDIAN WAY, COLTS NECK, NJ 07722-2419
(732) 303-3100
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
7EKKEK
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8748306
—
NJ
Enumeration date
02/07/2007
Last updated
08/22/2020
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