Organization
300 BROADWAY HEALTHCARE CENTER LLC
Active
Other names
NEW VISTA NURSING & REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHMUEL KRAMER BA (BUSINESS OFFICE)
(973) 484-4222
Entity
Organization
Contact information
Practice address
300 BROADWAY, NEWARK, NJ 07104-4003
(973) 484-4222
Mailing address
300 BROADWAY, NEWARK, NJ 07104-4003
(973) 484-4222
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7792603
—
NJ
Enumeration date
10/06/2005
Last updated
12/21/2009
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