Organization
CPL (FOX CHASE) LLC
Active
Parent organization
NEW JERSEY SUBACUTE LLC
Other names
Fox Chase Rehab and Nursing Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW JERSEY SUBACUTE LLC
Authorized official
MS. CAROLE M SCILLIA (LLC MANAGER)
(203) 608-6100
Entity
Organization
Contact information
Practice address
2015 EAST WEST HIGHWAY, SILVER SPRING, MD 20910-2602
(301) 587-2400
(301) 587-2404
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
15-008
MD
314000000X
Skilled Nursing Facility
15118
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256304500
—
MD
05
—
700101100
—
MD
Enumeration date
11/09/2005
Last updated
07/27/2011
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