Provider Demographics
NPI:1356774889
Name:ABRAMS RESIDENCE ASSISTED LIVING FACILITY
Entity type:Organization
Organization Name:ABRAMS RESIDENCE ASSISTED LIVING FACILITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:GOLDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-883-8539
Mailing Address - Street 1:53 WALTER STREET
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08628-3085
Mailing Address - Country:US
Mailing Address - Phone:609-883-5391
Mailing Address - Fax:609-530-1635
Practice Address - Street 1:50 WALTER STREET
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08628
Practice Address - Country:US
Practice Address - Phone:609-883-5391
Practice Address - Fax:609-530-1635
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GREENWOOD HOUSE, HOME FOR THE JEWISH AGED INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-08-20
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ47A102310400000X, 310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility