Basic Information
| Provider Information | |||||||||
| NPI: | 1538675350 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CSH MORRIS PLAINS LESSEE, LLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | ARBOR TERRACE MORRIS PLAINS | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3715 NORTHSIDE PARKWAY | ||||||||
| Address2: | BUILDING 300, SUITE 110 | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 30327 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4042374509 | ||||||||
| FaxNumber: | 4042371719 | ||||||||
| Practice Location | |||||||||
| Address1: | 361 SPEEDWELL AVE | ||||||||
| Address2: | |||||||||
| City: | MORRIS PLAINS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 079502136 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9737183636 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/15/2017 | ||||||||
| LastUpdateDate: | 12/15/2017 | ||||||||
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| AuthorizedOfficialLastName: | HARPER | ||||||||
| AuthorizedOfficialFirstName: | JUDSON | ||||||||
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| AuthorizedOfficialTitleorPosition: | VP OF MANAGEMENT COMPANY | ||||||||
| AuthorizedOfficialTelephone: | 4042374509 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 310400000X | NJ | Y | Nursing & Custodial Care Facilities | Assisted Living Facility |
No ID Information.