Organization
ST. BARNABAS ASSISTED LIVING AT LAKEWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENNARO ROTELLA (V.P. FINANCIAL OPERATIONS)
(973) 450-2942
Entity
Organization
Contact information
Practice address
77 WILLIAMS ST, LAKEWOOD, NJ 08701-4728
(973) 450-2942
Mailing address
77 WILLIAMS ST, LAKEWOOD, NJ 08701-4728
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
65A103
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8112207
—
NJ
Enumeration date
11/16/2006
Last updated
08/22/2020
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