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Organization
JOB HAINES HOME FOR AGED PEOPLE
Active
Organization
JOB HAINES HOME FOR AGED PEOPLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NOREEN ELIZABETH HAVERON LNHA MPA (PRESIDENT EXECUTIVE DIRECTOR)
(973) 743-0792
Entity
Organization
Contact information
Practice address
250 BLOOMFIELD AVE, BLOOMFIELD, NJ 07003-5689
(973) 743-0792
Mailing address
250 BLOOMFIELD AVENUE, BLOOMFIELD, NJ 07003
(973) 743-0792
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030706
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4477201
—
NJ
Enumeration date
02/14/2006
Last updated
08/22/2020
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