# PAXXON HEALTHCARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PAXXON HEALTHCARE SERVICES LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326432022
- **Legal business name:** PAXXON HEALTHCARE SERVICES LLC
- **Authorized official:** WINSOME O KING OT (SUPERVISOR)
- **Authorized official phone:** (610) 991-2034

## Contact information

- **Practice address:** 60 OCEAN AVE, MANASQUAN, NJ 08736-3220
- **Practice address phone:** (908) 309-6642
- **Mailing address:** 60 OCEAN AVE, MANASQUAN, NJ 08736-3220
- **Mailing address phone:** (908) 309-6642
- **Mailing address fax:** (732) 722-8082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 40-QA00471300 | NJ | Yes |

## Other

- **Enumeration date:** 03/20/2015
- **Last updated:** 03/20/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 105502498 | NPI | NJ |