Organization
69 MAPLE AVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH GOLDMAN (CONTROLLER)
(732) 446-1804
Entity
Organization
Contact information
Practice address
69 MAPLE RD, WEST MILFORD, NJ 07480-2707
(973) 697-5640
(973) 697-8607
Mailing address
104 PENSION RD, ENGLISHTOWN, NJ 07726-8400
(732) 446-1804
(732) 446-0999
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4496906
—
NJ
Enumeration date
08/17/2005
Last updated
10/20/2011
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