Organization
TRI-STATE HEALTHCARE MANAGEMENT LLC
Active
Other names
Lakeview Rehabilitation And Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL LEIFER (MEMBER)
(877) 567-0402
Entity
Organization
Contact information
Practice address
130 TERHUNE DR, WAYNE, NJ 07470-7104
(973) 839-4500
Mailing address
130 TERHUNE DR, WAYNE, NJ 07470-7104
(718) 567-0400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
61610
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61610
LICENSE NUMBER
NJ
Enumeration date
07/29/2015
Last updated
10/16/2018
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