Organization
CHRISTIAN HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN A STAGG (EXECUTIVE VICE PRESIDENT)
(201) 848-5200
Entity
Organization
Contact information
Practice address
301 SICOMAC AVE, WYCKOFF, NJ 07481-2159
(201) 848-5500
(201) 848-5493
Mailing address
301 SICOMAC AVE, WYCKOFF, NJ 07481-2159
(201) 848-5500
(201) 848-5493
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060204
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4463501
—
NJ
Enumeration date
10/14/2005
Last updated
08/22/2020
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