Organization
NEWARK EXTENDED CARE FACILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL PANETH LNHA (ADMINISTRATOR)
(973) 483-6800
Entity
Organization
Contact information
Practice address
65 JAY ST, NEWARK, NJ 07103-3235
(973) 483-6800
(973) 483-1841
Mailing address
65 JAY ST, NEWARK, NJ 07103-3235
(973) 483-6800
(973) 483-1841
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060713
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4476204
—
NJ
Enumeration date
10/17/2005
Last updated
12/30/2008
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