# HAZLET MANOR ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Regency Park Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194852327
- **Authorized official:** AARON STEFANSKY (CONTROLLER)
- **Authorized official phone:** (732) 730-9280

## Contact information

- **Practice address:** 3325 HIGHWAY 35, HAZLET, NJ 07730-1552
- **Practice address phone:** (732) 264-5800
- **Practice address fax:** (732) 264-7995
- **Mailing address:** 643 CROSS STREET, LAKEWOOD, NJ 08701
- **Mailing address phone:** (732) 730-9280
- **Mailing address fax:** (732) 730-8407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 55C000 | NJ | — |
| 314000000X | Skilled Nursing Facility | 061303 | NJ | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 09/29/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4490207 | — | NJ |