Healthcare Provider Details

I. General information

NPI: 1164561189
Provider Name (Legal Business Name): THE GALLEN ADULT DAY HEALTH CARE CENTER AT RTHE JEWISH HOME AT HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 09/10/2020
Certification Date: 09/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 LINK DR
ROCKLEIGH NJ
07647-2504
US

IV. Provider business mailing address

10 LINK DR
ROCKLEIGH NJ
07647-2504
US

V. Phone/Fax

Practice location:
  • Phone: 201-784-1414
  • Fax: 201-750-4266
Mailing address:
  • Phone: 201-784-1414
  • Fax: 201-784-0006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License NumberT2TMR2
License Number StateNJ

VIII. Authorized Official

Name: MRS. CAROL SILVER ELLIOTT
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 201-750-4230