Organization
COUNTRY ARCH CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN ROSENBERG (OWNER)
(908) 735-6600
Entity
Organization
Contact information
Practice address
114 PITTSTOWN RD, PITTSTOWN, NJ 08867-4224
(908) 735-6600
(908) 735-7600
Mailing address
114 PITTSTOWN RD, PITTSTOWN, NJ 08867-4224
(908) 735-6600
(908) 735-7600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NJ61006
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8531803
—
NJ
Enumeration date
12/05/2005
Last updated
05/10/2012
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