# CPL (WILLOW CREEK) LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NEW JERSEY CPL HOLDINGS LLC
- **Other names:** Willow Creek Rehabilitation & Care Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316114861
- **Legal business name:** NEW JERSEY CPL HOLDINGS LLC
- **Authorized official:** CAROLE M SCILLIA (LLC MANAGER)
- **Authorized official phone:** (203) 608-6134

## Contact information

- **Practice address:** 1165 EASTON AVE, SOMERSET, NJ 08873-1613
- **Practice address phone:** (732) 246-4100
- **Practice address fax:** (732) 246-3926
- **Mailing address:** 538 PRESTON AVE, SUITE 270, MERIDEN, CT 06450-4851
- **Mailing address phone:** (203) 608-6100
- **Mailing address fax:** (203) 639-3574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 061808 | NJ | Yes |

## Other

- **Enumeration date:** 05/14/2008
- **Last updated:** 07/24/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4498607 | — | NJ |