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Organization
CENTER STATE HEALTH GROUP INC.
Active
Organization
CENTER STATE HEALTH GROUP INC.
Active
Other names
Country Manor
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SWEENEY (CFO)
(908) 851-8355
Entity
Organization
Contact information
Practice address
16 WHITESVILLE RD, TOMS RIVER, NJ 08753-4107
(732) 736-5106
(732) 286-3165
Mailing address
54 NEWCOMBE ST, BELLEVILLE, NJ 07109-1236
(973) 450-2908
(973) 844-4705
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061503
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4494407
—
NJ
05
—
4494504
—
NJ
Enumeration date
07/10/2006
Last updated
01/14/2008
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