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Organization

TWO COOPER PLAZA OPERATING COMPANY, LLC

Active
Other names
South Jersey Health Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN P BRESLIN (EXECUTIVE VP)
(201) 242-4004
Entity
Organization

Contact information

Practice address
2 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-7600
(856) 342-6662
Mailing address
2 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-7600
(856) 342-6662

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NJ
385H00000X
Respite Care
0049140
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4470303
NJ
Enumeration date
07/15/2005
Last updated
04/08/2008
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