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Organization

PORTAGE LAKES SKILLED NURSING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ISRAEL FELDHEIM (MANAGER)
(732) 998-3617
Entity
Organization

Contact information

Practice address
615 LATHAM LN, NEW FRANKLIN, OH 44319-4338
(330) 644-3914
Mailing address
20 N COUNTY LINE RD, JACKSON, NJ 08527-0247
(330) 644-3914

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
12/29/2025
Last updated
12/29/2025
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