Organization
1420 SOUTH BLACK HORSE PIKE OPERATIONS LLC
Active
Parent organization
SUMMIT CARE LLC
Other names
Meadowview Nursing & Respiratory Care
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
1420 S BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-9130
(856) 875-0100
(856) 875-0101
Mailing address
1420 S BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-9130
(856) 875-0100
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
NJ
Other
Enumeration date
08/26/2015
Last updated
04/11/2017
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