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Organization

NEW JERSEY VETRANS MEMORIAL HOME

Active
Parent organization
STATE OF NEW JERSEY NEW JERSEY VETERANS HOME MENLO PARK
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE OF NEW JERSEY NEW JERSEY VETERANS HOME MENLO PARK
Authorized official
MYRNA PRINCE RN MSN (CHARGE NURSE)
(732) 452-4138
Entity
Organization

Contact information

Practice address
132 EVERGREEN RD, EDISON, NJ 08837-2484
(732) 452-4100
Mailing address
132 EVERGREEN RD, EDISON, NJ 08837-2484
(732) 452-4100

Taxonomy

Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary

Other

Enumeration date
10/18/2021
Last updated
10/18/2021
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