Organization
HACKENSACK MERIDIAN AMBULATORY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD HAND (SENIOR FINANCE ADMINISTRATION)
(732) 481-8529
Entity
Organization
Contact information
Practice address
415 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 206-8000
Mailing address
3349 HWY 138 STE A, WALL TOWNSHIP, NJ 07719-9671
(732) 751-3624
(732) 280-6855
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6523609
—
NJ
Enumeration date
10/16/2017
Last updated
12/27/2021
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