Organization
GENESIS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET LANE (SPEECH LANGUAGE THERAPIST)
(973) 736-2000
Entity
Organization
Contact information
Practice address
20 SUMMIT STR, WEST ORANGE, NJ 07052
(973) 736-2000
Mailing address
20 SUMMIT STR, WEST ORANGE, NJ 07052
(973) 736-2000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
41YS00650100
NJ
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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