# ANDOVER NURSING & CONVALESCENT HOME

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

## Provider details

- **NPI number:** 1306004700
- **Authorized official:** MRS. CARLA TURCO KIPIANI (PRESIDENT-OWNER)
- **Authorized official phone:** (201) 460-8904

## Contact information

- **Practice address:** 99 MULFORD ROAD, LAFAYETTE, NJ 07848
- **Practice address phone:** (973) 383-6200
- **Practice address fax:** (973) 940-1178
- **Mailing address:** PO BOX 1279, ANDOVER, NJ 07821-1279
- **Mailing address phone:** (973) 383-6200

## Taxonomy

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

## Other

- **Enumeration date:** 06/02/2008
- **Last updated:** 06/02/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0081400 | — | NJ |