1165 Easton Avenue Operations LLC
NPI #1528577293 in Somerset, New Jersey
Provider Information
- NPI Number
- 1528577293
- Entity Type
- Organization
- Organization Name
- 1165 Easton Avenue Operations LLC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Sep 26, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1165 EASTON AVE
- City
- Somerset
- State
- New Jersey
- ZIP Code
- 08873-1613
- Phone
- (732) 246-4100
Authorized Official
- Name
- MICHAEL T BERG
- Title
- VP GEN COUNSEL ASST SECY
- Phone
- (505) 468-4742
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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