Organization
TOWER LODGE CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PINCHUS FEIGENBAUM (PARTNER)
(732) 681-1400
Entity
Organization
Contact information
Practice address
1506 GULLY RD, WALL, NJ 07719-4443
(732) 681-1400
Mailing address
1506 GULLY RD, WALL, NJ 07719-4443
(732) 681-1400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4488806
—
NJ
Enumeration date
09/29/2006
Last updated
05/06/2009
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