Organization
JERSEY CITY HEALTHCARE PROVIDORS LLC
Active
Other names
Harborview HCC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM STERN (COMPTROLLER)
(718) 567-0400
Entity
Organization
Contact information
Practice address
178 198 OGDEN AVENUE, JERSEY CITY, NJ 07307-1394
(201) 963-1800
(201) 963-0018
Mailing address
14C 53RD ST, SUITE 220, BROOKLYN, NY 11232-2644
(718) 567-0400
(718) 567-0600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060905
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4479408
—
NJ
Enumeration date
06/22/2006
Last updated
06/24/2015
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