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Organization

EASTERN PINES LLC

Active
Parent organization
EASTERN PINES LLC
Other names
Eastern Pines Vent Unit
Organization subpart
Yes

Provider details

NPI number
Legal business name
EASTERN PINES LLC
Authorized official
MRS. BETH GOLDMAN (CONTROLLER)
(732) 446-1804
Entity
Organization

Contact information

Practice address
29 N VERMONT AVE, ATLANTIC CITY, NJ 08401-5561
(609) 344-8900
Mailing address
104 PENSION RD, MANALAPAN, NJ 07726-8400
(732) 446-1804
(732) 446-0047

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060103
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0199044
NJ
Enumeration date
12/14/2011
Last updated
12/14/2011
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