200 Marter Avenue Operations LLC
NPI #1700202751 in Moorestown, New Jersey
Provider Information
- NPI Number
- 1700202751
- Entity Type
- Organization
- Organization Name
- 200 Marter Avenue Operations LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GENESIS NJ HOLDINGS LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 14, 2014
- Last Updated
- Oct 1, 2015
Practice Location
- Address
- 212 MARTER AVE
- City
- Moorestown
- State
- New Jersey
- ZIP Code
- 08057-3114
- Phone
- (856) 291-4800
Authorized Official
- Name
- MICHAEL T BERG
- Title
- ASSISTANT SECRETARY
- Phone
- (505) 468-4742
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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