# MONTCLAIR CARE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407413404
- **Authorized official:** USHER EGERT (OWNER)
- **Authorized official phone:** (973) 746-4616

## Contact information

- **Practice address:** 111-115 GATES AVE, MONTCLAIR, NJ 07042-2500
- **Practice address phone:** (973) 746-4616
- **Mailing address:** 111-115 GATES AVE, MONTCLAIR, NJ 07042-2500

## Taxonomy

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

## Other

- **Enumeration date:** 05/24/2019
- **Last updated:** 05/24/2019
