Organization
GLOUCESTER MANOR HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH GOLDMAN (CONTROLLER)
(732) 446-1804
Entity
Organization
Contact information
Practice address
685 SALINA RD, SEWELL, NJ 08080-4602
(856) 468-2500
(856) 468-7071
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
—
4478401
—
NJ
Enumeration date
08/17/2005
Last updated
11/10/2009
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