Organization
HOMESTEAD REHABILITATION & HEALTH CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOVID GLENN LNHA (ADMINISTRATOR)
(973) 948-5400
Entity
Organization
Contact information
Practice address
129 MORRIS TPKE, NEWTON, NJ 07860-4913
(973) 948-5400
(973) 948-3056
Mailing address
129 MORRIS TPKE, NEWTON, NJ 07860-4913
(973) 948-5400
(973) 948-3056
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061905
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4503902
—
NJ
Enumeration date
12/17/2012
Last updated
05/19/2020
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