Organization
BOONTON CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
USHER EGERT (PRESIDENT)
(973) 334-2454
Entity
Organization
Contact information
Practice address
199 POWERVILLE RD, BOONTON, NJ 07005-8840
(973) 334-2454
Mailing address
199 POWERVILLE RD, BOONTON, NJ 07005-8840
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TBD
—
NJ
Enumeration date
02/27/2018
Last updated
02/27/2018
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