# ANDOVER REHAB CENTER SERVICES TWO INC

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

## Provider details

- **NPI number:** 1649288572
- **Authorized official:** MRS. CARLA TURCO KIPIANI LNHA (PRESIDENT OWNER)
- **Authorized official phone:** (201) 460-8904

## Contact information

- **Practice address:** 99 MULFORD ROAD, LAFAYETTE, NJ 07848
- **Practice address phone:** (973) 383-6200
- **Practice address fax:** (973) 383-0359
- **Mailing address:** PO BOX 536, LYNDHURST, NJ 07071
- **Mailing address phone:** (201) 460-8904
- **Mailing address fax:** (201) 460-9925

## Taxonomy

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

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 03/28/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00475690 | — | NY |
| 05 | — | 01815952 | — | NY |
| 05 | — | 4503601 | — | NJ |