Organization
TUCKERTON OPERATING, LLC
Active
Other names
The Pines at Medford
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES-EDOUARD GROS (MEMBER)
(718) 360-8083
Entity
Organization
Contact information
Practice address
185 TUCKERTON RD, MEDFORD, NJ 08055-8803
(856) 983-8500
Mailing address
460 BAYVIEW AVE, INWOOD, NY 11096-1702
(718) 360-8083
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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