Provider Demographics
NPI:1730216334
Name:FRANCIS E. PARKER MEMORIAL HOME
Entity type:Organization
Organization Name:FRANCIS E. PARKER MEMORIAL HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR PROFESSIONAL EDUCATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:SLATER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-418-8634
Mailing Address - Street 1:501 EASTON AVE AT LANDING LANE
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901
Mailing Address - Country:US
Mailing Address - Phone:732-545-3110
Mailing Address - Fax:
Practice Address - Street 1:501 EASTON AVE AT LANDING LANE
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901
Practice Address - Country:US
Practice Address - Phone:732-545-3110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ061206314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility