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Organization
CPL (WILLOW CREEK) LLC
Active
Organization
CPL (WILLOW CREEK) LLC
Active
Parent organization
NEW JERSEY CPL HOLDINGS LLC
Other names
Willow Creek Rehabilitation & Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW JERSEY CPL HOLDINGS LLC
Authorized official
CAROLE M SCILLIA (LLC MANAGER)
(203) 608-6134
Entity
Organization
Contact information
Practice address
1165 EASTON AVE, SOMERSET, NJ 08873-1613
(732) 246-4100
(732) 246-3926
Mailing address
538 PRESTON AVE, SUITE 270, MERIDEN, CT 06450-4851
(203) 608-6100
(203) 639-3574
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061808
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4498607
—
NJ
Enumeration date
05/14/2008
Last updated
07/24/2013
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