# GARDEN STATE NURSING HOME INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New Grove Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811983166
- **Authorized official:** MR. JOSEPH D. COHEN (ADMINISTRATOR)
- **Authorized official phone:** (973) 672-1700

## Contact information

- **Practice address:** 101 N GROVE ST, EAST ORANGE, NJ 07017-4712
- **Practice address phone:** (973) 672-1700
- **Practice address fax:** (973) 672-7854
- **Mailing address:** 101 N GROVE ST, EAST ORANGE, NJ 07017-4712
- **Mailing address phone:** (973) 672-1700
- **Mailing address fax:** (973) 672-7854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 060704 | NJ | Yes |

## Other

- **Enumeration date:** 09/22/2005
- **Last updated:** 04/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 07090 | — | NJ |
| 01 | — | 4475500 | UNYSIS | NJ |