69 Maple Ave INC
NPI #1073505970 in West Milford, New Jersey
Provider Information
- NPI Number
- 1073505970
- Entity Type
- Organization
- Organization Name
- 69 Maple Ave INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 17, 2005
- Last Updated
- Oct 20, 2011
Practice Location
- Address
- 69 MAPLE RD
- City
- West Milford
- State
- New Jersey
- ZIP Code
- 07480-2707
- Phone
- (973) 697-5640
Authorized Official
- Name
- MRS. BETH GOLDMAN
- Title
- CONTROLLER
- Phone
- (732) 446-1804
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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