Organization
JOB HAINES HOME FOR AGED PEOPLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NOREEN ELIZABETH HAVERON LNHA MPA (PRESIDENT EXECUTIVE DIRECTOR)
(973) 743-0792
Entity
Organization
Contact information
Practice address
250 BLOOMFIELD AVE, BLOOMFIELD, NJ 07003-5689
(973) 743-0792
Mailing address
250 BLOOMFIELD AVENUE, BLOOMFIELD, NJ 07003
(973) 743-0792
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030706
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4477201
—
NJ
Enumeration date
02/14/2006
Last updated
08/22/2020
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