Organization
GARDEN STATE NURSING HOME INC.
Active
Other names
New Grove Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH D. COHEN (ADMINISTRATOR)
(973) 672-1700
Entity
Organization
Contact information
Practice address
101 N GROVE ST, EAST ORANGE, NJ 07017-4712
(973) 672-1700
(973) 672-7854
Mailing address
101 N GROVE ST, EAST ORANGE, NJ 07017-4712
(973) 672-1700
(973) 672-7854
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060704
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07090
—
NJ
01
—
4475500
UNYSIS
NJ
Enumeration date
09/22/2005
Last updated
04/19/2012
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