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Organization
GREENWOOD HOUSE, HOME FOR THE JEWISH AGED INC.
Active
Organization
GREENWOOD HOUSE, HOME FOR THE JEWISH AGED INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD S GOLDSTEIN LNHA (EXECUTIVE DIRECTOR)
(609) 883-5391
Entity
Organization
Contact information
Practice address
53 WALTER ST, EWING, NJ 08628-3016
(609) 883-5391
(609) 530-1635
Mailing address
53 WALTER ST, EWING, NJ 08628-3016
(609) 883-5391
(609) 530-1635
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031101
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0469710001
NSC NUMBER FOR PEN BILLIN
NJ
05
—
4483600
—
NJ
01
—
563991
MEDICARE OSCAR FOR PHYSICIAN'S BILLING
NJ
Enumeration date
07/20/2005
Last updated
04/29/2008
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