# MARGARET ANNA CUSACK CARE CENTER,INC

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

## Provider details

- **NPI number:** 1699892315
- **Authorized official:** ANN TAYLOR L.N.H.A. (ADMINISTRATOR)
- **Authorized official phone:** (201) 653-8300

## Contact information

- **Practice address:** 537 PAVONIA AVE, JERSEY CITY, NJ 07306-1803
- **Practice address phone:** (201) 653-8300
- **Practice address fax:** (201) 653-7705
- **Mailing address:** 537 PAVONIA AVENUE, JERSEY CITY, NJ 07306
- **Mailing address phone:** (201) 653-8300
- **Mailing address fax:** (201) 653-7705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 030905 | NJ | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4479904 | — | NJ |