Organization · Type 2 NPI
Ca Fanwood LLC
Assisted Living Facility · Fanwood, NJ
NPI number
1548387285
Active
Practice location
295 South Ave
Fanwood, NJ 07023-1357
Fax (908) 789-0451
Mailing address
33 Union Pl, 2nd Floor
Summit, NJ 07901-3650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 90A000 (NJ) |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2 other providers at this address
Other assisted living facility providers in Fanwood
About NPI 1548387285
Ca Fanwood LLC's National Provider Identifier is 1548387285, issued on Mar 26, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fanwood, NJ. The record was last updated on Aug 22, 2020.