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Organization

1419 ROUTE 9 NORTH OPERATIONS LLC

Active
Parent organization
GENESIS OPERATIONS VI LLC
Other names
Eastern Shore Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
GENESIS OPERATIONS VI LLC
Authorized official
GEORGE V. HAGER (CEO)
(610) 444-6350
Entity
Organization

Contact information

Practice address
1419 N ROUTE 9, CAPE MAY COURT HOUSE, NJ 08210-1415
(609) 465-2260
(609) 465-2680
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 444-6350

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060506
NJ

Other

Enumeration date
04/17/2014
Last updated
07/07/2014
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