Organization
PRIME CARE ONE, LLC
Active
Other names
Brighton Gardens of Mountainside
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY J. HARRIS (SENIOR REIMBURSEMENT MANAGER)
(703) 854-0830
Entity
Organization
Contact information
Practice address
1350 US HIGHWAY 22, MOUNTAINSIDE, NJ 07092-2614
(908) 654-4460
Mailing address
1350 US HIGHWAY 22, MOUNTAINSIDE, NJ 07092-2614
(908) 654-4460
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
90122
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8353808
—
NJ
Enumeration date
01/23/2007
Last updated
01/22/2025
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