Organization
PARAGON VILLAGE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY POLACHEK C.A.L.A. (EXECUTIVE DRIECTOR)
(908) 498-0102
Entity
Organization
Contact information
Practice address
427 US HIGHWAY 46 E, HACKETTSTOWN, NJ 07840-2683
(908) 498-0107
Mailing address
427 US HIGHWAY 46 E, HACKETTSTOWN, NJ 07840-2683
(908) 498-0107
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
60A008
NJ
311500000X
Alzheimer Center (Dementia Center)
Primary
60A008
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029688
—
NJ
01
—
NJ60A008
ALR
NJ
Enumeration date
02/20/2007
Last updated
09/11/2025
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