# CPL PARK MANOR LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Park Manor Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073594511
- **Authorized official:** CAROLE M SCILLIA LLC MANAGER (OFFICE MANAGER)
- **Authorized official phone:** (203) 608-6100

## Contact information

- **Practice address:** 23 PARK PLACE, BLOOMFIELD, NJ 07003-3513
- **Practice address phone:** (973) 743-7772
- **Practice address fax:** (973) 743-8053
- **Mailing address:** 538 PRESTON AVENUE, SUITE 270, MERIDEN, CT 06450-4851
- **Mailing address phone:** (203) 608-6100
- **Mailing address fax:** (203) 639-3574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 060716 | NJ | Yes |

## Other

- **Enumeration date:** 11/10/2005
- **Last updated:** 07/27/2011