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Organization
CHESTNUT HILL CONVALESCENT & REHABILITATION CENTER
Active
Organization
CHESTNUT HILL CONVALESCENT & REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE PECK JR. (BOARD MEMBER)
(973) 777-7800
Entity
Organization
Contact information
Practice address
360 CHESTNUT ST, PASSAIC, NJ 07055-3124
(973) 777-7800
(973) 778-9013
Mailing address
360 CHESTNUT ST, PASSAIC, NJ 07055-3124
(973) 777-7800
(973) 778-9013
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061605
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
315085
MEDICARE PROVIDER NUMBER
NJ
05
—
4495900
—
NJ
Enumeration date
01/02/2007
Last updated
12/17/2009
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