Organization
HAZLET MANOR ASSOCIATES
Active
Other names
Regency Park Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
AARON STEFANSKY (CONTROLLER)
(732) 730-9280
Entity
Organization
Contact information
Practice address
3325 HIGHWAY 35, HAZLET, NJ 07730-1552
(732) 264-5800
(732) 264-7995
Mailing address
643 CROSS STREET, LAKEWOOD, NJ 08701
(732) 730-9280
(732) 730-8407
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
55C000
NJ
314000000X
Skilled Nursing Facility
Primary
061303
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4490207
—
NJ
Enumeration date
02/27/2007
Last updated
09/29/2009
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