Organization · Type 2 NPI
Mira Vie at Fanwood Opco LLC
Assisted Living Facility · Fanwood, NJ
NPI number
1952159865
Active
Practice location
295 South Ave
Fanwood, NJ 07023-1357
Fax (844) 808-0071
Mailing address
4301 Anchor Plaza Pkwy Ste 300
Tampa, FL 33634-7521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
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 1952159865
Mira Vie at Fanwood Opco LLC's National Provider Identifier is 1952159865, issued on May 7, 2024. 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 16, 2024.