Organization
ANDOVER REHAB CENTER SERVICES TWO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA TURCO KIPIANI LNHA (PRESIDENT OWNER)
(201) 460-8904
Entity
Organization
Contact information
Practice address
99 MULFORD ROAD, LAFAYETTE, NJ 07848
(973) 383-6200
(973) 383-0359
Mailing address
PO BOX 536, LYNDHURST, NJ 07071
(201) 460-8904
(201) 460-9925
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00475690
—
NY
05
—
01815952
—
NY
05
—
4503601
—
NJ
Enumeration date
08/04/2006
Last updated
03/28/2008
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