# LAUREL HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Laurel Manor Healthcare and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730466392
- **Authorized official:** MR. MOSHE BRODT (LLC MEMBER)
- **Authorized official phone:** (917) 379-8074

## Contact information

- **Practice address:** 18 W LAUREL RD, STRATFORD, NJ 08084-1718
- **Practice address phone:** (856) 784-2400
- **Mailing address:** 24 WEST PKWY, CLIFTON, NJ 07014-1228
- **Mailing address phone:** (917) 379-8074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 060405 | NJ | Yes |

## Other

- **Enumeration date:** 11/10/2011
- **Last updated:** 01/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0280917 | — | NJ |