Cpl Park Manor LLC
NPI #1073594511 in Bloomfield, New Jersey
Provider Information
- NPI Number
- 1073594511
- Entity Type
- Organization
- Organization Name
- Cpl Park Manor LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 10, 2005
- Last Updated
- Jul 27, 2011
Practice Location
- Address
- 23 PARK PLACE
- City
- Bloomfield
- State
- New Jersey
- ZIP Code
- 07003-3513
- Phone
- (973) 743-7772
Authorized Official
- Name
- CAROLE M SCILLIA, LLC MANAGER
- Title
- OFFICE MANAGER
- Phone
- (203) 608-6100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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