# COUNTRY ARCH CARE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063496842
- **Authorized official:** JONATHAN ROSENBERG (OWNER)
- **Authorized official phone:** (908) 735-6600

## Contact information

- **Practice address:** 114 PITTSTOWN RD, PITTSTOWN, NJ 08867-4224
- **Practice address phone:** (908) 735-6600
- **Practice address fax:** (908) 735-7600
- **Mailing address:** 114 PITTSTOWN RD, PITTSTOWN, NJ 08867-4224
- **Mailing address phone:** (908) 735-6600
- **Mailing address fax:** (908) 735-7600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NJ61006 | NJ | Yes |

## Other

- **Enumeration date:** 12/05/2005
- **Last updated:** 05/10/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8531803 | — | NJ |