Organization
120-124 NOYES DRIVE OPERATING COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG HOOK (EVP)
(201) 953-0546
Entity
Organization
Contact information
Practice address
120 NOYES DR, PARK RIDGE, NJ 07656-1294
(201) 505-1777
Mailing address
26 MAIN ST, EDISON, NJ 08837
(732) 582-0400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
62219
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0512265
—
NJ
Enumeration date
04/11/2016
Last updated
12/31/2024
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