# 493 BLACK OAK RIDGE ROAD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Care One at Wayne
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861491540
- **Authorized official:** MR. A. ALBERTO LUGO (EXECUTIVE VP & GENERAL COUNSEL)
- **Authorized official phone:** (201) 242-4000

## Contact information

- **Practice address:** 493 BLACK OAK RIDGE ROAD, WAYNE, NJ 07470
- **Practice address phone:** (973) 692-9500
- **Practice address fax:** (973) 692-1992
- **Mailing address:** 493 BLACK OAK RIDGE ROAD, WAYNE, NJ 07470
- **Mailing address phone:** (973) 692-9500
- **Mailing address fax:** (973) 692-1992

## Taxonomy

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

## Other

- **Enumeration date:** 07/15/2005
- **Last updated:** 08/13/2015