# TRI-STATE HEALTHCARE MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LAKEVIEW REHABILITATION AND CARE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871950600
- **Authorized official:** MR. JOEL LEIFER (MEMBER)
- **Authorized official phone:** (973) 839-4500

## Contact information

- **Practice address:** 130 TERHUNE DR, WAYNE, NJ 07470-7104
- **Practice address phone:** (973) 839-4500
- **Mailing address:** 130 TERHUNE DR, WAYNE, NJ 07470-7104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 061610 | NJ | Yes |

## Other

- **Enumeration date:** 01/25/2016
- **Last updated:** 01/25/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0486639 | — | NJ |