Organization
ST CLOUD ROCHELLE PARK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAVIE KATZ (BILLING MANAGER)
(718) 567-0400
Entity
Organization
Contact information
Practice address
96 PARKWAY, ROCHELLE PARK, NJ 07662-4200
(718) 567-0400
Mailing address
170 53RD ST, BROOKLYN, NY 11232-4316
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132349
—
NJ
Enumeration date
05/21/2008
Last updated
05/21/2008
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