11 HISTORY LANE OPERATING COMPANY, LLC

NPI: 1073170072 · Organization · Active

Primary Specialty

Assisted Living Facility

Practice Location

11 HISTORY LANE
JACKSON, NJ 08527 Map ↗
Phone: 732-367-6600
Fax: 732-905-9641

All Specialties & Licenses

  • Assisted Living Facility Primary

NPI Registration

Enumerated: 2019-05-24

Last CMS Update: 2019-05-24