The Estaugh
The Estaugh is an Assisted Living Facility in Medford, New Jersey. Licensed in New Jersey. Registered with an NPI since 2005.
- Licensed in
- NJ
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
1 Medford LeasMedford, NJ 08055-2254
Phone: (609) 654-3000
Fax: (609) 654-7894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X |
|---|---|
| Assisted Living Facility | Taxonomy 310400000X · Licence 060308 (NJ) |
Record details
| NPI number | 1740279652 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeremy Vickers — Chief Executive Officer · (609) 654-3009 |
| Other names | Medford Leas; Medford Leas |
| NPI enumerated | October 14, 2005 |
| Last updated in NPPES | July 15, 2022 |
| Certification date | July 15, 2022 |
| Mailing address | 1 Medford Leas, Medford, NJ 08055-2254 |
Clinicians affiliated with this facility
- Dr. James Charles Damico, DO Internal Medicine Physician · Medford, NJ
- Mrs. Terry L Fazio, NP Nurse Practitioner · Medford, NJ
- Dr. Jeffery Ranalli, DO Internal Medicine Physician · Medford, NJ