Organization
NORTHWEST TOTAL CARE CENTER ASSOCIATES, L.P.
Active
Other names
Brakeley Park Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization
Contact information
Practice address
290 RED SCHOOL LN, PHILLIPSBURG, NJ 08865-2276
(908) 859-2800
(908) 859-4532
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
953335
NJ
314000000X
Skilled Nursing Facility
Primary
062106
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004475000
AMERIHEALTH-MANAGED CARE
—
01
—
000822
HORIZON - SUB
—
01
—
2049077
AETNA-HMO
—
05
—
21620
—
NJ
01
—
315316
HORIZION - SNF
—
01
—
317107
US FAMILY HEALTH PLAN
—
01
—
5222702
UNISYS
NJ
Enumeration date
05/24/2006
Last updated
06/21/2018
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