Cpl (willow Creek) LLC

NPI #1316114861 in Somerset, New Jersey

Provider Information

NPI Number
1316114861
Entity Type
Organization
Organization Name
Cpl (willow Creek) LLC
Subpart
Yes (part of a larger organization)
Parent Organization
NEW JERSEY CPL HOLDINGS LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 14, 2008
Last Updated
Jul 24, 2013

Practice Location

Address
1165 EASTON AVE
ZIP Code
08873-1613
Phone
(732) 246-4100

Authorized Official

Name
CAROLE M SCILLIA
Title
LLC MANAGER
Phone
(203) 608-6134

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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