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GREENFIELD OF GLASSBORO LLC NPI 1174918353


NPI Information

NPI: 1174918353
Provider Name: GREENFIELD OF GLASSBORO LLC

Doing Business As: GREENFIELD SENIOR LIVING AT CROSS KEYS

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
3152 GLASSBORO CROSS KEYS RD
GLASSBORO, NJ
ZIP 08028
Phone: (856) 307-2100
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GREENFIELD OF GLASSBORO LLC is an assisted living facility in Glassboro, NJ. The provider is 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. GREENFIELD OF GLASSBORO LLC NPI is 1174918353. The provider is registered as an organization entity type.
The provider Is Doing Business As Greenfield Senior Living At Cross Keys.

The provider's business location address is:

3152 GLASSBORO CROSS KEYS RD
GLASSBORO, NJ
ZIP 08028-723
Phone: (856) 307-2100

The provider's authorized official is Mathew Peponis .
The authorized official title is Ceo and has the following contact phone number (703) 962-9125.

The enumeration date for this NPI number is 4/3/2015 and was last updated on 4/3/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityNEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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