# MERRY HEART NURSING & CONV CENT

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

## Provider details

- **NPI number:** 1538242029
- **Authorized official:** MRS. BLANQUITA MONTILLA BONIFACIO R.N., L.N.H.A. (C.E.O.)
- **Authorized official phone:** (973) 584-4000

## Contact information

- **Practice address:** 200 ROUTE 10 WEST, SUCCASUNNA, NJ 07876
- **Practice address phone:** (973) 584-4000
- **Practice address fax:** (973) 584-2717
- **Mailing address:** 200 ROUTE 10 WEST, SUCCASUNNA, NJ 07876
- **Mailing address phone:** (973) 584-4000
- **Mailing address fax:** (973) 584-2717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 061410 | NJ | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4491301 | — | NJ |