# PHYLCO, LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** White Birch Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467515411
- **Authorized official:** MRS. KATHRYN SOLAN (CFO)
- **Authorized official phone:** (973) 942-8899

## Contact information

- **Practice address:** 59 BIRCH ST, PATERSON, NJ 07522-1403
- **Practice address phone:** (973) 942-8899
- **Practice address fax:** (973) 942-1229
- **Mailing address:** 59 BIRCH ST, PATERSON, NJ 07522-1403
- **Mailing address phone:** (973) 942-8899
- **Mailing address fax:** (973) 942-1229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 061620 | NJ | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 02/14/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001263 | MEDICARE BLUE NUMBER | NJ |
| 05 | — | 4496701 | — | NJ |