Organization
ANDOVER SUBACUTE & REHAB CENTER SERVICES ONE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA TURCO KIPIANI (OWNER PRESIDENT)
(201) 460-8904
Entity
Organization
Contact information
Practice address
1 OBRIEN LANE, LAFAYETTE, NJ 07848
(973) 383-6200
(973) 940-1178
Mailing address
PO BOX 536, LYNDHURST, NJ 07071-0536
(201) 460-8904
(201) 460-9925
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4503708
—
NJ
Enumeration date
11/17/2006
Last updated
03/31/2008
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