Organization
CANTERBURY AT CEDAR GROVE CARE & REHABILITATION CENTER LLC
Active
Other names
Cedar Grove Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH CONDORELLI (VP FINCANCE AND CENSUS DEVELOPEMENT)
(201) 767-0100
Entity
Organization
Contact information
Practice address
398 POMPTON AVE, CEDAR GROVE, NJ 07009-1813
(973) 239-7600
(973) 239-8725
Mailing address
100 MCCLELLEN ST, NORWOOD, NJ 07648-1555
(201) 767-0100
(201) 881-1191
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060729
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8864501
—
NJ
Enumeration date
06/21/2005
Last updated
03/17/2009
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