Provider Demographics
NPI:1518366962
Name:GERIATRIC LIVING SOLUTIONS, INC.
Entity Type:Organization
Organization Name:GERIATRIC LIVING SOLUTIONS, INC.
Other - Org Name:PORTABLE ASSISTED LIVING SERVICES (PALS)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-692-1000
Mailing Address - Street 1:300 TEANECK RD
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4043
Mailing Address - Country:US
Mailing Address - Phone:201-692-1000
Mailing Address - Fax:201-692-0293
Practice Address - Street 1:300 TEANECK RD
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4043
Practice Address - Country:US
Practice Address - Phone:201-692-1000
Practice Address - Fax:201-692-0293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-21
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility