Organization
CARERET SENIOR LIVING
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
1155 E JERSEY ST, ELIZABETH, NJ 07201-2310
(908) 352-9200
Mailing address
1155 E JERSEY ST, ELIZABETH, NJ 07201-2310
(908) 352-9200
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
90A120
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009229
—
NJ
Enumeration date
02/07/2007
Last updated
08/22/2020
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