521 Pine Brook Operating, Llc

NPI 1306182159 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1306182159
Enumeration Date 12/26/2012
Last Updated 12/26/2012
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CHARLES-EDOUARD CHARLES-EDOUARD
Position MANAGING MEMBER
Phone (973) 696-3300
Fax
Practice Location
521 PINE BROOK RD
LINCOLN PARK NJ, 07035-1801, US
Phone (973) 696-3300
Fax
Business Location
499 PINE BROOK RD
LINCOLN PARK NJ, 07035-1804, US
Phone (973) 696-3300
Fax
Toxanomy
Taxonomy Code 314000000X
License State New Jersey
License Number 061408
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According to our database, 521 Pine Brook Operating, Llc NPI is 1306182159, taxonomy code is 314000000X and license number is 061408, license state is located at New Jersey. 521 Pine Brook Operating, Llc physically located at 521 Pine Brook Rd, Lincoln Park NJ, 07035-1801. NPI Number 1033115704 has the healthcare provider type.

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1306182159 NPI number is provided on an as is basis without warranty of any kind. 1306182159 is maintained by the National Plan & Provider Enumeration System. The contents of 521 Pine Brook Operating, Llc are for informational purposes only.