Organization
WANAQUE OPERATING CO, L.P.
Active
Parent organization
SENIORS MANAGEMENT NORTH, INC.
Other names
The Wanaque Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SENIORS MANAGEMENT NORTH, INC.
Authorized official
MR. LENARD BROWN (DIR. ACCOUNT RECEIVABLE)
(856) 663-4044
Entity
Organization
Contact information
Practice address
1114 WYNNWOOD AVE, CHERRY HILL, NJ 08002-3256
(856) 663-4044
(856) 665-5708
Mailing address
1433 RINGWOOD AVE, HASKELL, NJ 07420-1520
(973) 839-2119
(856) 665-5708
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061628
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01057345
—
NY
05
—
01292924
—
NY
05
—
0306070
—
NJ
05
—
4495705
—
NJ
01
—
4495713
RES-PROV
NJ
05
—
4496001
—
NJ
Enumeration date
07/19/2005
Last updated
11/08/2012
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