Organization
LAZMAN, INC.
Active
Other names
Manchester Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LENARD BROWN (C.F.O.)
(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
1770 TOBIAS AVE, MANCHESTER, NJ 08759-5803
(732) 657-1800
(856) 665-5708
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061517
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4493702
—
NJ
Enumeration date
07/19/2005
Last updated
05/18/2012
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