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Organization

BROADWAY HOUSE FOR CONTINUING CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES R GONZALEZ LNHA (PRESIDENT/CEO)
(973) 268-9797
Entity
Organization

Contact information

Practice address
298 BROADWAY, NEWARK, NJ 07104-8000
(973) 268-9797
(973) 268-2828
Mailing address
298 BROADWAY, NEWARK, NJ 07104-8000
(973) 268-9797
(973) 268-2828

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060738
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6400400
NJ
Enumeration date
03/14/2017
Last updated
03/14/2017
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