1420 South Black Horse Pike Operations LLC
NPI #1669849568 in Williamstown, New Jersey
Provider Information
- NPI Number
- 1669849568
- Entity Type
- Organization
- Organization Name
- 1420 South Black Horse Pike Operations LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SUMMIT CARE LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 26, 2015
- Last Updated
- Apr 11, 2017
Practice Location
- Address
- 1420 S BLACK HORSE PIKE
- City
- Williamstown
- State
- New Jersey
- ZIP Code
- 08094-9130
- Phone
- (856) 875-0100
Authorized Official
- Name
- MICHAEL T BERG
- Title
- ASSISTANT SECRETARY
- Phone
- (505) 468-4742
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Skilled Nursing Facility |
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