Organization
PARKWAY MANOR HEALTH CENTER, LLC
Active
Other names
Park Crescent Healthcare & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE FROST (CONTROLLER)
(732) 364-2672
Entity
Organization
Contact information
Practice address
480 N WALNUT ST, EAST ORANGE, NJ 07017-4029
(973) 674-2700
Mailing address
480 N WALNUT ST, EAST ORANGE, NJ 07017-4029
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4475704
—
NJ
Enumeration date
12/15/2008
Last updated
03/16/2009
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