Organization
VAN DYK HEALTHCARE, INC.
Active
Other names
Van Dyk Manor of Montclair
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DONNA M. MELCHIONDA (CHIEF FINANCIAL OFFICER)
(201) 689-7991
Entity
Organization
Contact information
Practice address
42 N MOUNTAIN AVE, MONTCLAIR, NJ 07042-2318
(973) 783-9400
(973) 783-8499
Mailing address
644 GOFFLE RD, HAWTHORNE, NJ 07506-3452
(201) 689-7991
(973) 304-2046
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060719
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072478
—
NJ
Enumeration date
10/19/2006
Last updated
02/11/2010
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