Second Home Perth Amboy LLC
Second Home Perth Amboy LLC is an Adult Care Home Facility in Perth Amboy, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.
- Licensed in
- NJ
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
420 Fayette StPerth Amboy, NJ 08861-3835
Phone: (732) 826-8012
Fax: (732) 826-1961
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence Z0SFLR (NJ) |
|---|
Record details
| NPI number | 1063627545 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Debroah Minassian — President · (973) 279-2323 |
| NPI enumerated | May 10, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 100 Hamilton Plz, Paterson, NJ 07505-2109 |