Provider Demographics
NPI:1255129581
Name:ALFA DEVELOPMENT, INC
Entity type:Organization
Organization Name:ALFA DEVELOPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SANTA LUCDIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-697-1010
Mailing Address - Street 1:39 OAK RIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:NEWFOUNDLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07435
Mailing Address - Country:US
Mailing Address - Phone:973-697-1010
Mailing Address - Fax:973-697-8841
Practice Address - Street 1:67 MOLINARI DRIVE
Practice Address - Street 2:
Practice Address - City:WANAQUE
Practice Address - State:NJ
Practice Address - Zip Code:07465
Practice Address - Country:US
Practice Address - Phone:973-697-1010
Practice Address - Fax:973-697-8841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0542971Medicaid