Organization
LINCOLN PARK CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIMI FELICIANO (CEO)
(973) 696-3300
Entity
Organization
Contact information
Practice address
499 PINE BROOK RD, LINCOLN PARK, NJ 07035-1804
(973) 696-3300
(973) 633-8747
Mailing address
499 PINE BROOK RD, LINCOLN PARK, NJ 07035-1804
(973) 696-3300
(973) 633-8747
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061409
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00310412
—
NY
05
—
4491203
—
NJ
Enumeration date
04/11/2006
Last updated
11/26/2007
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