Organization
MARGARET ANNA CUSACK CARE CENTER,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN TAYLOR L.N.H.A. (ADMINISTRATOR)
(201) 653-8300
Entity
Organization
Contact information
Practice address
537 PAVONIA AVE, JERSEY CITY, NJ 07306-1803
(201) 653-8300
(201) 653-7705
Mailing address
537 PAVONIA AVENUE, JERSEY CITY, NJ 07306
(201) 653-8300
(201) 653-7705
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030905
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4479904
—
NJ
Enumeration date
03/26/2007
Last updated
08/22/2020
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