Organization
PHYLCO, LTD
Active
Other names
White Birch Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRYN SOLAN (CFO)
(973) 942-8899
Entity
Organization
Contact information
Practice address
59 BIRCH ST, PATERSON, NJ 07522-1403
(973) 942-8899
(973) 942-1229
Mailing address
59 BIRCH ST, PATERSON, NJ 07522-1403
(973) 942-8899
(973) 942-1229
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
061620
NJ
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001263
MEDICARE BLUE NUMBER
NJ
05
—
4496701
—
NJ
Enumeration date
12/19/2006
Last updated
02/14/2019
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