Organization
1165 EASTON AVENUE OPERATIONS LLC
Active
Parent organization
SUMMIT CARE LLC
Other names
Willow Creek Rehabilitation and Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT CARE LLC
Authorized official
MICHAEL T BERG (ASSISTANT SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
1165 EASTON AVE, SOMERSET, NJ 08873-1613
(732) 246-4100
(732) 246-4101
Mailing address
1165 EASTON AVE, SOMERSET, NJ 08873-1613
(732) 246-4100
(732) 246-4101
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
NJ
Other
Enumeration date
08/24/2015
Last updated
04/12/2017
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