521 Pine Brook Operating, LLC
NPI #1306182159 in Lincoln Park, New Jersey
Provider Information
- NPI Number
- 1306182159
- Entity Type
- Organization
- Organization Name
- 521 Pine Brook Operating, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 521 PINE BROOK VENTURES, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 26, 2012
- Last Updated
- Dec 26, 2012
Practice Location
- Address
- 521 PINE BROOK RD
- City
- Lincoln Park
- State
- New Jersey
- ZIP Code
- 07035-1801
- Phone
- (973) 696-3300
Authorized Official
- Name
- CHARLES-EDOUARD GROS
- Title
- MANAGING MEMBER
- Phone
- (973) 696-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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