Organization
VINELAND OPERATING, LLC
Active
Parent organization
VINELAND VENTURES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VINELAND VENTURES, LLC
Authorized official
CHARLES-EDOUARD GROS (MANAGING MEMBER)
(718) 360-8083
Entity
Organization
Contact information
Practice address
1045 E CHESTNUT AVE, VINELAND, NJ 08360-5838
(718) 360-8083
Mailing address
13742 71ST AVE, FLUSHING, NY 11367-1939
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060601
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4473604
—
NJ
Enumeration date
09/17/2015
Last updated
09/17/2015
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