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Organization
LAUREL HEALTHCARE LLC
Active
Organization
LAUREL HEALTHCARE LLC
Active
Other names
Laurel Manor Healthcare and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOSHE BRODT (LLC MEMBER)
(917) 379-8074
Entity
Organization
Contact information
Practice address
18 W LAUREL RD, STRATFORD, NJ 08084-1718
(856) 784-2400
Mailing address
24 WEST PKWY, CLIFTON, NJ 07014-1228
(917) 379-8074
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060405
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280917
—
NJ
Enumeration date
11/10/2011
Last updated
01/19/2012
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