Organization
301 UNION STREET, LLC
Active
Other names
Care One at Wellington
Organization subpart
No
Provider details
NPI number
Authorized official
MR. A. ALBERTO LUGO (EXECUTIVE VP & GENERAL COUSEL)
(201) 242-4000
Entity
Organization
Contact information
Practice address
301 UNION STREET, HACKENSACK, NJ 07601
(201) 487-4900
(201) 487-1741
Mailing address
301 UNION STREET, HACKENSACK, NJ 07601
(201) 487-4900
(201) 487-1741
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060205
NJ
385H00000X
Respite Care
4464516
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4464508
—
NJ
Enumeration date
07/15/2005
Last updated
08/13/2015
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