Organization
KINDRED HOSPITALS EAST, LLC
Active
Other names
Kindred Hospital - East New Jersey
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY TEAGUE (VICE PRESIDENT, CORPORATE SECRETARY)
(629) 253-5121
Entity
Organization
Contact information
Practice address
350 BOULEVARD FL 5, PASSAIC, NJ 07055-2840
(973) 636-7200
(973) 595-6432
Mailing address
350 BOULEVARD FL 5, PASSAIC, NJ 07055-2840
(973) 636-7200
(973) 595-6432
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
24048
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054208
—
NJ
01
—
312020-00
BLUE CROSS
NJ
Enumeration date
11/01/2006
Last updated
03/11/2024
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