Organization
HARTWYCK WEST NURSING HOME, INC
Active
Other names
JFK HARTWYCK AT CEDAR BROOK
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS LANKEY (SR VP FOR LTC FACILITIES)
(732) 321-7890
Entity
Organization
Contact information
Practice address
1340 PARK AVE, PLAINFIELD, NJ 07060-3227
(908) 754-3100
(908) 754-3418
Mailing address
98 JAMES ST, 4TH FLOOR, EDISON, NJ 08820-3902
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
062009
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20218
—
NJ
05
—
2021Y
—
NJ
05
—
4504305
—
NJ
05
—
4505107
—
NJ
Enumeration date
04/10/2007
Last updated
08/15/2007
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