Organization
MEDFORD CONVALESCENT & NURSING CENTER
Active
Other names
Medford Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD PINELES (PRESIDENT)
(201) 489-7400
Entity
Organization
Contact information
Practice address
185 TUCKERTON RD, MEDFORD, NJ 08055-8803
(856) 983-8500
(856) 983-8965
Mailing address
185 TUCKERTON RD, MEDFORD, NJ 08055-8803
(856) 983-8500
(856) 983-8965
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060313
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03140
NJ
NJ
05
—
4466209
—
NJ
Enumeration date
06/28/2005
Last updated
06/27/2008
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