# WEST SALEM OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** mulder healthcare facility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639631104
- **Authorized official:** ADAM KUSHNIR (CEO)
- **Authorized official phone:** (619) 565-3637

## Contact information

- **Practice address:** 23 SHENANDOAH DR, LAKEWOOD, NJ 08701-4979
- **Practice address phone:** (619) 565-3637
- **Mailing address:** 23 SHENANDOAH DR, LAKEWOOD, NJ 08701-4979

## Taxonomy

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

## Other

- **Enumeration date:** 04/03/2019
- **Last updated:** 04/03/2019