Organization
ST CLOUD OPERATIONS LLC
Active
Other names
ST CLOUD HCC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM STERN (COMPTROLLER)
(718) 567-0400
Entity
Organization
Contact information
Practice address
5 BROOK END DR, WEST ORANGE, NJ 07052-1303
(973) 324-3000
(973) 324-3005
Mailing address
14C 53RD ST, SUITE 220, BROOKLYN, NY 11232-2644
(718) 567-0400
(718) 567-0600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
306001
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7702001
—
NJ
Enumeration date
06/15/2006
Last updated
06/25/2015
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