Organization
CHESTNUT HILL RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE PECK, JR. M.D. (OWNER)
(973) 777-7800
Entity
Organization
Contact information
Practice address
338 CHESTNUT ST, PASSAIC, NJ 07055-3158
(973) 777-7800
(973) 249-0623
Mailing address
338 CHESTNUT ST, PASSAIC, NJ 07055-3158
(973) 777-7800
(973) 249-0623
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HOT9MH
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8659907
—
NJ
Enumeration date
02/08/2007
Last updated
08/22/2020
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