Provider Demographics
NPI:1083045967
Name:RT. 206 INC.
Entity Type:Organization
Organization Name:RT. 206 INC.
Other - Org Name:HERITAGE ASSISTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZIRBSER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:609-561-8977
Mailing Address - Street 1:45 ROUTE 206
Mailing Address - Street 2:
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-2722
Mailing Address - Country:US
Mailing Address - Phone:609-561-8977
Mailing Address - Fax:609-561-1158
Practice Address - Street 1:45 ROUTE 206
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-2722
Practice Address - Country:US
Practice Address - Phone:609-561-8977
Practice Address - Fax:609-561-1158
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ZIRBSER-GREENBRIAR INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-03
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ01A006310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility