Provider Demographics
NPI:1598887762
Name:QUALITY ASSISTED LIVING, INC.
Entity Type:Organization
Organization Name:QUALITY ASSISTED LIVING, INC.
Other - Org Name:ACORN GLEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FERN
Authorized Official - Middle Name:R
Authorized Official - Last Name:SPADAFINO
Authorized Official - Suffix:
Authorized Official - Credentials:CALA
Authorized Official - Phone:609-430-4007
Mailing Address - Street 1:775 MOUNT LUCAS RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-1954
Mailing Address - Country:US
Mailing Address - Phone:609-430-4000
Mailing Address - Fax:609-430-4001
Practice Address - Street 1:775 MOUNT LUCAS RD
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-1954
Practice Address - Country:US
Practice Address - Phone:609-430-4000
Practice Address - Fax:609-430-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ47A003310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8703302Medicaid