Mystic Meadows Snf LLC
NPI #1659082873 in Little Egg Harbor Twp, New Jersey
Provider Information
- NPI Number
- 1659082873
- Entity Type
- Organization
- Organization Name
- Mystic Meadows Snf LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 8, 2022
- Last Updated
- Dec 8, 2022
Practice Location
- Address
- 151 9TH AVE
- State
- New Jersey
- ZIP Code
- 08087-4218
- Phone
- (609) 294-3200
Authorized Official
- Name
- PINCHOS BAK
- Title
- AUTHORIZED SIGNER
- Phone
- (609) 294-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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