Organization
EAGLE ROCK CONVALESCENT CENTER, INC.
Active
Other names
West Caldwell Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD PINELES (PRESIDENT)
(201) 489-7400
Entity
Organization
Contact information
Practice address
165 FAIRFIELD AVE, WEST CALDWELL, NJ 07006-6414
(973) 226-1100
(973) 226-5993
Mailing address
165 FAIRFIELD AVE, WEST CALDWELL, NJ 07006-6414
(973) 226-1100
(973) 226-5993
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060734
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07750
NJ
NJ
05
—
4477804
—
NJ
Enumeration date
06/28/2005
Last updated
06/27/2008
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