# HACKENSACK MERIDIAN AMBULATORY CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Harborage
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215448097
- **Authorized official:** RICHARD HAND (SENIOR FINANCE ADMINISTRATION)
- **Authorized official phone:** (732) 481-8529

## Contact information

- **Practice address:** 7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
- **Practice address phone:** (201) 854-8016
- **Practice address fax:** (201) 869-5813
- **Mailing address:** 3349 HWY 138 BLD C, SUITE A, WALL, NJ 07719
- **Mailing address phone:** (732) 751-3600

## Taxonomy

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

## Other

- **Enumeration date:** 10/19/2017
- **Last updated:** 12/27/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0637815 | — | NJ |
