Van Dyk Healthcare, Inc.

NPI 1194807412 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1194807412
Enumeration Date 10/19/2006
Last Updated 02/11/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DONNA M. DONNA
Position CHIEF FINANCIAL OFFICER
Phone (973) 783-9400
Fax (973) 783-8499
Practice Location
42 N MOUNTAIN AVE
MONTCLAIR NJ, 07042-2318, US
Phone (973) 783-9400
Fax (973) 783-8499
Business Location
644 GOFFLE RD
HAWTHORNE NJ, 07506-3452, US
Phone (201) 689-7991
Fax (973) 304-2046
Toxanomy
Taxonomy Code 314000000X
License State New Jersey
License Number 060719
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According to our database, Van Dyk Healthcare, Inc. NPI is 1194807412, taxonomy code is 314000000X and license number is 060719, license state is located at New Jersey. Van Dyk Healthcare, Inc. physically located at 42 N Mountain Ave, Montclair NJ, 07042-2318. NPI Number 1033115704 has the healthcare provider type.

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1194807412 NPI number is provided on an as is basis without warranty of any kind. 1194807412 is maintained by the National Plan & Provider Enumeration System. The contents of Van Dyk Healthcare, Inc. are for informational purposes only.