Organization
REGENCY HERITAGE NURSING & REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON STEFANSKY (CONTROLLER)
(732) 730-9280
Entity
Organization
Contact information
Practice address
380 DEMOTT LANE, SOMERSET, NJ 08873-2762
(732) 873-2000
(732) 873-2112
Mailing address
643 CROSS ST, LAKEWOOD, NJ 08701-4610
(732) 730-9280
(732) 730-9278
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061801
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18150/4499107
—
NJ
Enumeration date
07/18/2005
Last updated
09/29/2009
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