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Organization
REGENCY GRANDE NURSING AND REHABILITATION CENTER LLC
Active
Organization
REGENCY GRANDE NURSING AND REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON STEFANSKY (CONTROLLER)
(732) 730-9280
Entity
Organization
Contact information
Practice address
65 N SUSSEX ST, DOVER, NJ 07801
(973) 361-5200
(973) 361-0375
Mailing address
643 CROSS ST, LAKEWOOD, NJ 08701
(732) 730-9280
(732) 730-8407
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
603300
NJ
314000000X
Skilled Nursing Facility
Primary
061423
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4491807
—
NJ
Enumeration date
02/27/2007
Last updated
09/29/2009
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