Organization
PRINCETON HEALTHCARE SNF, LLC
Active
Other names
The Pavilions at Forrestal Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PILEK (LNHA)
(609) 987-1221
Entity
Organization
Contact information
Practice address
5000 WINDROW DR, PRINCETON, NJ 08540-5003
(609) 987-1221
Mailing address
5000 WINDROW DR, PRINCETON, NJ 08540-5003
(609) 987-1221
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
62202
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108324
AMERICAID
NJ
01
—
1157185
HORIZON NJ HEALTH
NJ
01
—
17620
WELLCHOICE OF NJ
NJ
01
—
315370
HORIZON BC/BS
NJ
01
—
5597641
AETNA
NJ
05
—
7382707
—
NJ
01
—
A1265483
OXFORD
NJ
Enumeration date
09/21/2005
Last updated
08/22/2020
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