Individual provider · Type 1 NPI
Iridious Charles Hallback Jr.
Adult Care Home Facility · Ewing, NJ
NPI number
1023908118
Active
Practice location
3 Clermont Ave
Ewing, NJ 08618-2615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1023908118
Iridious Charles Hallback Jr.'s National Provider Identifier is 1023908118, issued on Jul 8, 2025. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Ewing, NJ. The record was last updated on Aug 13, 2026.