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Organization
NORTHWEST TOTAL CARE CENTER ASSOCIATES, L.P.
Active
Organization
NORTHWEST TOTAL CARE CENTER ASSOCIATES, L.P.
Active
Other names
Brakeley Park Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization
Contact information
Practice address
290 RED SCHOOL LN, PHILLIPSBURG, NJ 08865-2276
(908) 859-2800
(908) 859-4532
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
953335
NJ
314000000X
Skilled Nursing Facility
Primary
062106
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004475000
AMERIHEALTH-MANAGED CARE
—
01
—
000822
HORIZON - SUB
—
01
—
2049077
AETNA-HMO
—
05
—
21620
—
NJ
01
—
315316
HORIZION - SNF
—
01
—
317107
US FAMILY HEALTH PLAN
—
01
—
5222702
UNISYS
NJ
Enumeration date
05/24/2006
Last updated
06/21/2018
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