# STAFFORD CONVALESCENT CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern Ocean Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417992942
- **Authorized official:** JANE DROPESKEY (CORPORATE MANAGER)
- **Authorized official phone:** (610) 925-4231

## Contact information

- **Practice address:** 1361 ROUTE 72 W, MANAHAWKIN, NJ 08050-2417
- **Practice address phone:** (609) 978-0600
- **Practice address fax:** (609) 978-1635
- **Mailing address:** 101 E STATE ST, KENNETT SQUARE, PA 19348-3109
- **Mailing address phone:** (610) 925-4436
- **Mailing address fax:** (610) 925-4351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 080413 | NJ | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 08/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0005682000 | AMERIHEALTH | — |
| 01 | — | 000849 | HORIZION - SUB | — |
| 05 | — | 15730 | — | NJ |
| 01 | — | 22-315441 | HCPC | — |
| 01 | — | 2427479 | AETNA-HMO | — |
| 01 | — | 315332 | HORIZION - SNF | — |
| 01 | — | 317427 | US FAMILY HEALTH CARE | — |
| 01 | — | 6231802 | UNISYS \# | — |