Organization
STAFFORD CONVALESCENT CENTER, INC
Active
Other names
Southern Ocean Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization
Contact information
Practice address
1361 ROUTE 72 W, MANAHAWKIN, NJ 08050-2417
(609) 978-0600
(609) 978-1635
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
080413
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005682000
AMERIHEALTH
—
01
—
000849
HORIZION - SUB
—
05
—
15730
—
NJ
01
—
22-315441
HCPC
—
01
—
2427479
AETNA-HMO
—
01
—
315332
HORIZION - SNF
—
01
—
317427
US FAMILY HEALTH CARE
—
01
—
6231802
UNISYS #
—
Enumeration date
06/18/2006
Last updated
08/17/2018
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