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Organization

493 BLACK OAK RIDGE ROAD, LLC

Active
Other names
Care One at Wayne
Organization subpart
No

Provider details

NPI number
Authorized official
MR. A. ALBERTO LUGO (EXECUTIVE VP & GENERAL COUNSEL)
(201) 242-4000
Entity
Organization

Contact information

Practice address
493 BLACK OAK RIDGE ROAD, WAYNE, NJ 07470
(973) 692-9500
(973) 692-1992
Mailing address
493 BLACK OAK RIDGE ROAD, WAYNE, NJ 07470
(973) 692-9500
(973) 692-1992

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NJ

Other

Enumeration date
07/15/2005
Last updated
08/13/2015
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