Organization
CPL (WILLOW CREEK) LLC
Active
Parent organization
NEW JERSEY CPL HOLDINGS LLC
Other names
Willow Creek Rehabilitation and Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW JERSEY CPL HOLDINGS LLC
Authorized official
CAROLE M SCILLIA (LLC MANAGER)
(203) 608-6134
Entity
Organization
Contact information
Practice address
1165 EASTON AVENUE, SOMERSET, NJ 08873-1613
(732) 246-4100
(732) 246-3926
Mailing address
538 PRESTON AVENUE, SUITE 270, MERIDEN, CT 06450-4851
(203) 608-6100
(203) 639-3574
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061808
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4498607
—
NJ
05
—
4499301
—
NJ
Enumeration date
07/02/2006
Last updated
07/24/2013
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