Organization
LAUREL HEALTHCARE LLC
Active
Other names
Laurel Manor Healthcare and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOSHE BRODT (LLC MEMBER)
(917) 379-8074
Entity
Organization
Contact information
Practice address
18 W LAUREL RD, STRATFORD, NJ 08084-1718
(856) 784-2400
Mailing address
24 WEST PKWY, CLIFTON, NJ 07014-1228
(917) 379-8074
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060405
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0280917
—
NJ
Enumeration date
11/10/2011
Last updated
01/19/2012
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