Organization
COUNTY OF WARREN
Active
Other names
WARREN HAVEN
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA TICHENOR (SUPERVISOR OF ACCOUNTS)
(908) 475-7709
Entity
Organization
Contact information
Practice address
350 OXFORD ROAD, OXFORD, NJ 07863-3224
(908) 475-7709
(908) 475-7725
Mailing address
350 OXFORD RD, OXFORD, NJ 07863-3224
(908) 475-7709
(908) 475-7725
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
62102
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4506707
—
NJ
Enumeration date
10/06/2005
Last updated
07/19/2012
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