493 Black Oak Ridge Road, LLC
NPI #1861491540 in Wayne, New Jersey
Provider Information
- NPI Number
- 1861491540
- Entity Type
- Organization
- Organization Name
- 493 Black Oak Ridge Road, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 15, 2005
- Last Updated
- Aug 13, 2015
Practice Location
- Address
- 493 BLACK OAK RIDGE ROAD
- City
- Wayne
- State
- New Jersey
- ZIP Code
- 07470
- Phone
- (973) 692-9500
Authorized Official
- Name
- MR. A. ALBERTO LUGO
- Title
- EXECUTIVE VP & GENERAL COUNSEL
- Phone
- (201) 242-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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