# PREAKNESS HEALTHCARE CENTER

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

## Provider details

- **NPI number:** 1083738454
- **Authorized official:** MRS. LUCINDA CORRADO LNHA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (973) 907-6040

## Contact information

- **Practice address:** 305 OLDHAM RD, WAYNE, NJ 07470-2208
- **Practice address phone:** (973) 904-6040
- **Practice address fax:** (973) 904-9843
- **Mailing address:** 305 OLDHAM RD, WAYNE, NJ 07470-2208
- **Mailing address phone:** (973) 904-6040
- **Mailing address fax:** (973) 904-9843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 061617 | NJ | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4497317 | — | NJ |