Organization
GENESIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN DICKERSON (COTA)
(973) 598-9443
Entity
Organization
Contact information
Practice address
57 SOUTH SECOND AVENUE, MINEHILL, NJ 07803
(973) 543-2500
Mailing address
57 SOUTH SECOND AVENUE, MINEHILL, NJ 07803
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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