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Organization
301 UNION STREET, LLC
Active
Organization
301 UNION STREET, LLC
Active
Other names
Care One at Wellington
Organization subpart
No
Provider details
NPI number
Authorized official
MR. A. ALBERTO LUGO (EXECUTIVE VP & GENERAL COUSEL)
(201) 242-4000
Entity
Organization
Contact information
Practice address
301 UNION STREET, HACKENSACK, NJ 07601
(201) 487-4900
(201) 487-1741
Mailing address
301 UNION STREET, HACKENSACK, NJ 07601
(201) 487-4900
(201) 487-1741
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060205
NJ
385H00000X
Respite Care
4464516
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4464508
—
NJ
Enumeration date
07/15/2005
Last updated
08/13/2015
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