Organization
1420 SOUTH BLACK HORSE PIKE OPERATIONS LLC
Active
Other names
MEADOW VIEW NURSING & RESPIRATORY CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T BERG (VP GEN COUNSEL ASST SECY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
1420 S BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-9130
(856) 875-0100
Mailing address
1420 S BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-9130
(856) 875-0100
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
00000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
NON MEDICARE
NJ
Enumeration date
09/26/2017
Last updated
07/21/2022
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