Sjv 1 Madison Opco LLC
NPI #1033796925 in Madison, New Jersey
Provider Information
- NPI Number
- 1033796925
- Entity Type
- Organization
- Organization Name
- Sjv 1 Madison Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 26, 2021
- Last Updated
- Mar 26, 2021
Practice Location
- Address
- 215 MADISON AVE
- City
- Madison
- State
- New Jersey
- ZIP Code
- 07940-1003
- Phone
- (973) 301-0005
Authorized Official
- Name
- MICHAEL DEPEOLA
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (973) 301-0005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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