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Organization

PINES VILLAGE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDEN GAROZZO (EXECUTIVE DIRECTOR)
(732) 849-0400
Entity
Organization

Contact information

Practice address
509 ROUTE 530, WHITING, NJ 08759-3145
(732) 849-0400
(732) 350-0540
Mailing address
509 ROUTE 530, WHITING, NJ 08759-3145
(732) 849-0400
(732) 350-0540

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
65A001
NJ
314000000X
Skilled Nursing Facility
Primary
656000
NJ
314000000X
Skilled Nursing Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7225008
NJ
01
7225016
MEDICAID ASSISTED
NJ
Enumeration date
11/28/2006
Last updated
09/01/2023
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