Organization
REGENCY GRANDE NURSING AND REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON STEFANSKY (CONTROLLER)
(732) 730-9280
Entity
Organization
Contact information
Practice address
65 N SUSSEX ST, DOVER, NJ 07801
(973) 361-5200
(973) 361-0375
Mailing address
643 CROSS ST, LAKEWOOD, NJ 08701
(732) 730-9280
(732) 730-8407
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
603300
NJ
314000000X
Skilled Nursing Facility
Primary
061423
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4491807
—
NJ
Enumeration date
02/27/2007
Last updated
09/29/2009
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