Assisted Living of Wall Township, LLC
Organization Active NPI Assisted Living Facility · Spring Lake, NJ
NPI 1942425897 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1942425897
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 1EGWIO (NJ)
- Legal business name
- ASSISTED LIVING OF WALL TOWNSHIP, LLC
- Practice address
- 2018 State Route 35
Spring Lake, NJ 07762-2558 - Phone
- (732) 282-1014
- Fax
- (732) 282-1050
- NPI assigned
- Apr 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Nancy Renehan, NJCALA
- Title
- Executive Director
- Phone
- (732) 282-1014
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 1EGWIO | NJ | Yes |
Addresses
Primary practice location
2018 State Route 35
Spring Lake, NJ 07762-2558
Mailing address
2018 State Route 35
Spring Lake, NJ 07762-2558
Phone (732) 282-1014
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8608806 | Medicaid | NJ |
Other names
- The Wexford At Wall
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All providers in Spring Lake, NJ · Assisted Living Facility in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.