# ANDOVER SUBACUTE & REHAB CENTER SERVICES ONE INC

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

## Provider details

- **NPI number:** 1255404018
- **Authorized official:** MRS. CARLA TURCO KIPIANI (OWNER PRESIDENT)
- **Authorized official phone:** (201) 460-8904

## Contact information

- **Practice address:** 1 OBRIEN LANE, LAFAYETTE, NJ 07848
- **Practice address phone:** (973) 383-6200
- **Practice address fax:** (973) 940-1178
- **Mailing address:** PO BOX 536, LYNDHURST, NJ 07071-0536
- **Mailing address phone:** (201) 460-8904
- **Mailing address fax:** (201) 460-9925

## Taxonomy

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

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 03/31/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4503708 | — | NJ |