56 Hamilton Avenue Operations LLC
NPI #1316322522 in Passaic, New Jersey
Provider Information
- NPI Number
- 1316322522
- Entity Type
- Organization
- Organization Name
- 56 Hamilton Avenue Operations LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GENESIS NJ HOLDINGS LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 29, 2015
- Last Updated
- Dec 3, 2015
Practice Location
- Address
- 56 HAMILTON AVE
- City
- Passaic
- State
- New Jersey
- ZIP Code
- 07055-5131
- Phone
- (973) 773-7070
Authorized Official
- Name
- MICHAEL T BERG
- Title
- ASSISTANT SECRETARY
- Phone
- (505) 468-4742
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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