Organization · Type 2 NPI
Van Dyk's Senior Residence of Hawthorne, LLC
Assisted Living Facility · Hawthorne, NJ
NPI number
1730212689
Active
Practice location
644 Goffle Rd
Hawthorne, NJ 07506-3452
Fax (973) 304-2046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 8XD1WY (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.
3 other providers at this address
About NPI 1730212689
Van Dyk's Senior Residence of Hawthorne, LLC's National Provider Identifier is 1730212689, issued on Mar 13, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Hawthorne, NJ. The record was last updated on Aug 22, 2020.