Provider Demographics
NPI:1629535232
Name:MARLBORO SENIOR HOUSING, LLC
Entity Type:Organization
Organization Name:MARLBORO SENIOR HOUSING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:YAEGER
Authorized Official - Suffix:
Authorized Official - Credentials:CALA
Authorized Official - Phone:732-536-3000
Mailing Address - Street 1:52 COUNTY ROAD 520
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1203
Mailing Address - Country:US
Mailing Address - Phone:732-536-3000
Mailing Address - Fax:732-536-3303
Practice Address - Street 1:52 COUNTY ROAD 520
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1203
Practice Address - Country:US
Practice Address - Phone:732-536-3000
Practice Address - Fax:732-536-3303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-01
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility