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Organization

PAXXON HEALTHCARE SERVICES LLC

Active
Parent organization
PAXXON HEALTHCARE SERVICES LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PAXXON HEALTHCARE SERVICES LLC
Authorized official
WINSOME O KING OT (SUPERVISOR)
(610) 991-2034
Entity
Organization

Contact information

Practice address
60 OCEAN AVE, MANASQUAN, NJ 08736-3220
(908) 309-6642
Mailing address
60 OCEAN AVE, MANASQUAN, NJ 08736-3220
(908) 309-6642
(732) 722-8082

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
40-QA00471300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
105502498
NPI
NJ
Enumeration date
03/20/2015
Last updated
03/20/2015
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