Organization
PRIME CARE ONE, LLC
Active
Other names
Brighton Gardens of Middletown
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY J. HARRIS (SENIOR REIMBURSEMENT MANAGER)
(703) 854-0830
Entity
Organization
Contact information
Practice address
620 STATE ROUTE 35, MIDDLETOWN, NJ 07748-4224
(732) 275-0790
Mailing address
620 STATE ROUTE 35, MIDDLETOWN, NJ 07748-4224
(732) 275-0790
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
55A001
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0900931
—
NJ
Enumeration date
01/23/2007
Last updated
01/22/2025
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