# TOWER LODGE CARE CENTER, LLC

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

## Provider details

- **NPI number:** 1811089626
- **Authorized official:** MR. PINCHUS FEIGENBAUM (PARTNER)
- **Authorized official phone:** (732) 681-1400

## Contact information

- **Practice address:** 1506 GULLY RD, WALL, NJ 07719-4443
- **Practice address phone:** (732) 681-1400
- **Mailing address:** 1506 GULLY RD, WALL, NJ 07719-4443
- **Mailing address phone:** (732) 681-1400

## Taxonomy

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

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 05/06/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4488806 | — | NJ |