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Organization

SOUTH CENTER STREET NURSING HOME, LLC

Active
Other names
AXIA CARE CENTER OF ORANGE, Pope John Paul II Pavilion
Organization subpart
No

Provider details

NPI number
Authorized official
SAM STERN (CORPORATE OFFICER)
(718) 567-9459
Entity
Organization

Contact information

Practice address
135 S CENTER ST, ORANGE, NJ 07050-3522
(973) 266-3200
(973) 266-3302
Mailing address
14C 53RD ST STE 220, BROOKLYN, NY 11232-2646
(718) 567-0400
(718) 567-0600

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
062209
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6799302
NJ
05
6799311
NJ
Enumeration date
06/11/2006
Last updated
03/11/2026
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