# CORNELL HALL CARE & REHABILITATION CENTER LLC

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

## Provider details

- **NPI number:** 1528297868
- **Authorized official:** MR. EDWARD S NEUMANN (CFO)
- **Authorized official phone:** (201) 767-0100

## Contact information

- **Practice address:** 234 CHESTNUT ST, UNION, NJ 07083-9409
- **Practice address phone:** (201) 767-0100
- **Mailing address:** 100 MCCLELLEN ST, NORWOOD, NJ 07648-1555
- **Mailing address phone:** (201) 767-0100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 062004 | NJ | Yes |

## Other

- **Enumeration date:** 07/08/2009
- **Last updated:** 07/08/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4505905 | — | NJ |