Organization
FAMILY OF CARING HEALTHCARE AT MONTCLAIR, LLC
Active
Other names
Family of Caring at Van Dyk Montclair
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD FRIEDMAN (VICE PRESIDENT)
(201) 391-0900
Entity
Organization
Contact information
Practice address
42 N MOUNTAIN AVE, MONTCLAIR, NJ 07042-2318
(973) 783-9400
(973) 783-8499
Mailing address
42 N MOUNTAIN AVE, MONTCLAIR, NJ 07042-2318
(973) 783-9400
(973) 783-8499
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0661392
—
NJ
Enumeration date
09/06/2018
Last updated
02/21/2020
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