# STRATFORD MANOR CARE & REHABILITATION CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northfield Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306842745
- **Authorized official:** MRS. DEBORAH CONDORELLI (VICE PRESIDENT FINANCE AND)
- **Authorized official phone:** (200) 767-0100

## Contact information

- **Practice address:** 787 NORTHFIELD AVE, WEST ORANGE, NJ 07052-1131
- **Practice address phone:** (973) 731-4500
- **Practice address fax:** (973) 592-0226
- **Mailing address:** 100 MCCLELLEN ST, NORWOOD, NJ 07648-1555
- **Mailing address phone:** (201) 767-0100
- **Mailing address fax:** (201) 881-1191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 060714 | NJ | Yes |

## Other

- **Enumeration date:** 06/21/2005
- **Last updated:** 03/17/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8876801 | — | NJ |