Organization
HUNTERDON CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BERNADETTE F REVICKY (ADMINISTRATOR)
(908) 788-9292
Entity
Organization
Contact information
Practice address
1 LEISURE CT, FLEMINGTON, NJ 08822-5724
(908) 788-9292
(908) 788-0556
Mailing address
1 LEISURE CT, FLEMINGTON, NJ 08822-5724
(908) 788-9292
(908) 788-0556
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061007
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000691
HORIZON BLUE CROSS
NJ
05
—
4482301
—
NJ
Enumeration date
08/07/2006
Last updated
08/22/2020
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