Organization
SALEM COUNTY NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS POWNALL (ADMINISTRATOR)
(856) 395-6677
Entity
Organization
Contact information
Practice address
438 WOODSTOWN RD., SALEM, NJ 08079
(856) 395-6677
Mailing address
438 WOODSTOWN RD., SALEM, NJ 08079
(856) 395-6677
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061703
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4498500
—
NJ
Enumeration date
12/02/2005
Last updated
08/22/2020
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