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Organization
PAXXON HEALTHCARE SERVICES LLC
Active
Organization
PAXXON HEALTHCARE SERVICES LLC
Active
Parent organization
PAXXON HEALTHCARE SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAXXON HEALTHCARE SERVICES LLC
Authorized official
WINSOME O KING OT (SUPERVISOR)
(610) 991-2034
Entity
Organization
Contact information
Practice address
60 OCEAN AVE, MANASQUAN, NJ 08736-3220
(908) 309-6642
Mailing address
60 OCEAN AVE, MANASQUAN, NJ 08736-3220
(908) 309-6642
(732) 722-8082
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
40-QA00471300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105502498
NPI
NJ
Enumeration date
03/20/2015
Last updated
03/20/2015
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