Organization
SJV 1 MADISON OPCO LLC
Active
Other names
Sunrise of Madison
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DEPEOLA (DIRECTOR OF OPERATIONS)
(973) 301-0005
Entity
Organization
Contact information
Practice address
215 MADISON AVE, MADISON, NJ 07940-1003
(973) 301-0005
(973) 301-0022
Mailing address
215 MADISON AVE, MADISON, NJ 07940-1003
(973) 301-0005
(973) 301-0022
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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