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Organization

LINCOLN PARK RENAISSANCE REHAB. & NURSING CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MIMI FELICIANO (CEO)
(973) 696-3300
Entity
Organization

Contact information

Practice address
499 PINE BROOK RD, LINCOLN PARK, NJ 07035-1804
(973) 696-3300
(973) 633-8747
Mailing address
499 PINE BROOK RD, LINCOLN PARK, NJ 07035-1804
(973) 696-3300
(973) 633-8747

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061408
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01216893
NY
05
4491904
NJ
Enumeration date
04/11/2006
Last updated
11/26/2007
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