# JOB HAINES HOME FOR AGED PEOPLE

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

## Provider details

- **NPI number:** 1114991437
- **Authorized official:** MS. NOREEN ELIZABETH HAVERON LNHA MPA (PRESIDENT EXECUTIVE DIRECTOR)
- **Authorized official phone:** (973) 743-0792

## Contact information

- **Practice address:** 250 BLOOMFIELD AVE, BLOOMFIELD, NJ 07003-5689
- **Practice address phone:** (973) 743-0792
- **Mailing address:** 250 BLOOMFIELD AVENUE, BLOOMFIELD, NJ 07003
- **Mailing address phone:** (973) 743-0792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 030706 | NJ | Yes |

## Other

- **Enumeration date:** 02/14/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4477201 | — | NJ |